Healthcare Provider Details

I. General information

NPI: 1417547795
Provider Name (Legal Business Name): FALLS PLAZA HEARING COMPANY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/21/2021
Last Update Date: 01/21/2021
Certification Date: 01/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 FALLS DR NW
ABINGDON VA
24210-8093
US

IV. Provider business mailing address

319 FALLS DR NW
ABINGDON VA
24210-8093
US

V. Phone/Fax

Practice location:
  • Phone: 276-676-1111
  • Fax: 276-676-1112
Mailing address:
  • Phone: 276-676-1111
  • Fax: 276-676-1112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LAUREN ESPOSITO
Title or Position: OWNER
Credential: AUD
Phone: 276-676-1111