Healthcare Provider Details

I. General information

NPI: 1811196165
Provider Name (Legal Business Name): HEARING HEALTHCARE CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2007
Last Update Date: 06/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 MILLS AVE
GREENVILLE SC
29605-4021
US

IV. Provider business mailing address

331 MILLS AVE
GREENVILLE SC
29605-4021
US

V. Phone/Fax

Practice location:
  • Phone: 864-232-3999
  • Fax: 864-232-4744
Mailing address:
  • Phone: 864-232-3999
  • Fax: 864-232-4744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number272
License Number StateSC

VIII. Authorized Official

Name: MR. PAUL JEROME WILKERSON
Title or Position: OWNER
Credential:
Phone: 864-232-3999