Healthcare Provider Details

I. General information

NPI: 1780337964
Provider Name (Legal Business Name): YOUNG'S HEARING AID SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/28/2022
Last Update Date: 01/28/2022
Certification Date: 01/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1607 BERNARDIN AVE
COLUMBIA SC
29204-2003
US

IV. Provider business mailing address

PO BOX 22
COLUMBIA SC
29202-0022
US

V. Phone/Fax

Practice location:
  • Phone: 803-254-7666
  • Fax: 803-254-2223
Mailing address:
  • Phone: 803-254-7666
  • Fax: 803-254-2223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. GEORGE CHARLES YOUNG SR.
Title or Position: OWNER
Credential: BC-HIS
Phone: 803-254-7666