MEDICARE: DARRELL HADDOX

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	1701	NC

General Provider Information

NPI Number	:	1811790520
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DARRELL HADDOX

Provider Business Mailing Address
First Line	:	931 JEFFERSON BLVD STE 2001
Second Line	:
City	:	WARWICK
State	:	RI
Zip	:	02886-2245
Country	:	US
Telephone Number	:	401-921-3320
Fax Number	:	401-921-3320

Provider Business Practice Location Address
First Line	:	601 S KINGS DR STE G
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28204-3089
Country	:	US
Telephone Number	:	704-333-9055
Fax Number	:	704-333-9055

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

Provider Enumeration Date	:	03/28/2025
Last Update Date	:	03/28/2025

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Directions to “ DARRELL HADDOX ” Practice Location

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