MEDICARE: ELIZABETH ANNE HOENE AU.D.

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	7991	SC

General Provider Information

NPI Number	:	1700604964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ELIZABETH ANNE HOENE AU.D.

Provider Business Mailing Address
First Line	:	3822 MAYFAIR ST
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-0912
Country	:	US
Telephone Number	:	843-449-6449
Fax Number	:

Provider Business Practice Location Address
First Line	:	3822 MAYFAIR ST
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-0912
Country	:	US
Telephone Number	:	843-449-6449
Fax Number	:

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

Provider Enumeration Date	:	09/27/2024
Last Update Date	:	09/27/2024

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