Healthcare Provider Details

I. General information

NPI: 1174249304
Provider Name (Legal Business Name): HEARSENSE SC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2022
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 ATRIUM WAY STE 102
COLUMBIA SC
29223-6382
US

IV. Provider business mailing address

115 ATRIUM WAY STE 102
COLUMBIA SC
29223-6382
US

V. Phone/Fax

Practice location:
  • Phone: 803-567-2533
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: DR. MEGAN THOMAS
Title or Position: AUDIOLOGIST
Credential:
Phone: 803-567-2533