Healthcare Provider Details

I. General information

NPI: 1053459685
Provider Name (Legal Business Name): SALISBURY AUDIOLOGY AND HEARING AID SERVICES, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2007
Last Update Date: 11/21/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

644 STATESVILLE BLVD UNIT 3
SALISBURY NC
28144-2280
US

IV. Provider business mailing address

644 STATESVILLE BLVD UNIT 3
SALISBURY NC
28144-2280
US

V. Phone/Fax

Practice location:
  • Phone: 704-633-6775
  • Fax: 704-633-6799
Mailing address:
  • Phone: 704-633-6775
  • Fax: 704-633-6799

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number6424
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number1270
License Number StateNC

VIII. Authorized Official

Name: DR. APRIL R PITTMAN
Title or Position: DOCTOR OF AUDIOLOGY, OWNER
Credential: AU.D.
Phone: 704-633-6775