MEDICARE: SCARLET GIBBS HALL HEARING SPECIALIST

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	237700000X	Hearing Instrument Specialist	1048	NC

General Provider Information

NPI Number	:	1639290612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCARLET GIBBS HALL HEARING SPECIALIST

Provider Business Mailing Address
First Line	:	3334 WELLONS BLVD
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-5290
Country	:	US
Telephone Number	:	252-633-4327
Fax Number	:	252-633-4330

Provider Business Practice Location Address
First Line	:	3334 WELLONS BLVD
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-5290
Country	:	US
Telephone Number	:	252-633-4327
Fax Number	:	252-636-4330

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	02/23/2012

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