MEDICARE: HEARING HEALTH CARE, P. A.

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	336	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891807939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARING HEALTH CARE, P. A.

Provider Business Mailing Address
First Line	:	5913 N KINGS HWY
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-2329
Country	:	US
Telephone Number	:	843-497-6156
Fax Number	:	843-449-9946

Provider Business Practice Location Address
First Line	:	5913 N KINGS HWY
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29577-2329
Country	:	US
Telephone Number	:	843-497-6156
Fax Number	:	843-449-9946

Authorized Official
Title or Position	:	DOCTOR OF AUDIOLOGY
Name	:	DR. PAMELA S. BENBOW
Credential	:	AU.D.
Telephone Number	:	843-497-6156

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/13/2008

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