Healthcare Provider Details

I. General information

NPI: 1942165311
Provider Name (Legal Business Name): ALL ABOUT EARS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 CROSSROADS DR
STATESVILLE NC
28625-8351
US

IV. Provider business mailing address

1030 CROSSROADS DR
STATESVILLE NC
28625-8351
US

V. Phone/Fax

Practice location:
  • Phone: 704-380-2615
  • Fax:
Mailing address:
  • Phone: 704-380-2615
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. MARJORIE WADGE
Title or Position: OWNER
Credential:
Phone: 704-380-2615