MEDICARE: ASHLEY LITCHFIELD BC-HIS

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	0575	SC

General Provider Information

NPI Number	:	1700497930
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY LITCHFIELD BC-HIS

Provider Business Mailing Address
First Line	:	13313 OCEAN HWY # 17
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-8544
Country	:	US
Telephone Number	:	843-235-8090
Fax Number	:

Provider Business Practice Location Address
First Line	:	13313 OCEAN HWY # 17
Second Line	:
City	:	PAWLEYS ISLAND
State	:	SC
Zip	:	29585-8544
Country	:	US
Telephone Number	:	843-235-8090
Fax Number	:

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

Provider Enumeration Date	:	08/12/2020
Last Update Date	:	11/27/2023

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