Healthcare Provider Details

I. General information

NPI: 1063479582
Provider Name (Legal Business Name): LAURA H. STONE CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA T. HUNTER CCC-A

II. Dates (important events)

Enumeration Date: 04/27/2006
Last Update Date: 10/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2295 HENRY TECKLENBURG DR
CHARLESTON SC
29414-7801
US

IV. Provider business mailing address

2295 HENRY TECKLENBURG DR
CHARLESTON SC
29414-7801
US

V. Phone/Fax

Practice location:
  • Phone: 843-766-7103
  • Fax: 843-576-2592
Mailing address:
  • Phone: 843-766-7103
  • Fax: 843-576-2592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA3070
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number86
License Number StateAK
# 3
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number3907
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: