Healthcare Provider Details
I. General information
NPI: 1982958138
Provider Name (Legal Business Name): SOUND ADVICE HEARING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/08/2012
Last Update Date: 04/29/2021
Certification Date: 04/29/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1515 ONYX RDG STE 102
FORT MILL SC
29708-8991
US
IV. Provider business mailing address
1515 ONYX RDG STE 102
FORT MILL SC
29708-8991
US
V. Phone/Fax
- Phone: 803-547-5700
- Fax:
- Phone: 803-547-5700
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237700000X |
| Taxonomy | Hearing Instrument Specialist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
BRIAN
DAVIS
Title or Position: OWNER
Credential:
Phone: 803-547-5700