Healthcare Provider Details

I. General information

NPI: 1285453308
Provider Name (Legal Business Name): VICTORIA CHRISTINE PRICE AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2024
Last Update Date: 10/07/2024
Certification Date: 10/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 48TH AVE N STE 203
MYRTLE BEACH SC
29577-5434
US

IV. Provider business mailing address

950 48TH AVE N STE 203
MYRTLE BEACH SC
29577-5434
US

V. Phone/Fax

Practice location:
  • Phone: 843-438-0283
  • Fax: 844-444-0901
Mailing address:
  • Phone: 843-438-0283
  • Fax: 844-444-0901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number7993
License Number StateSC

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: