Healthcare Provider Details

I. General information

NPI: 1134416951
Provider Name (Legal Business Name): MEGAN LEANNE ASH THOMAS AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2011
Last Update Date: 10/19/2022
Certification Date: 10/19/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 ATRIUM WAY STE 102
COLUMBIA SC
29223-6382
US

IV. Provider business mailing address

240 BELLE RIDGE RD
ELGIN SC
29045
US

V. Phone/Fax

Practice location:
  • Phone: 35-678-2533
  • Fax: 803-849-1400
Mailing address:
  • Phone: 803-567-2533
  • Fax: 402-280-8103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number4078
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number15198
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD004308
License Number StateGA
# 4
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number900779
License Number StateNE
# 5
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number900779
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: