MEDICARE: DR. COURTNEY PAIGE HANNIGAN AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	30004190	NC

General Provider Information

NPI Number	:	1417848375
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. COURTNEY PAIGE HANNIGAN AUD

Provider Business Mailing Address
First Line	:	3906 WAKE FOREST RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-6867
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3906 WAKE FOREST RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27609-6867
Country	:	US
Telephone Number	:	919-766-8989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2025
Last Update Date	:	07/10/2025

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