| |
23 Main St, Ste 101a, Hilton Headisland, SC 29926-6607 | |
(843) 681-6070 | |
(843) 681-6673 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 23 Main St, Hilton Headisland, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003016668 | NPI | - | NPPES |
SA 0409 GP1710 | Medicaid | SC | |
20066267 | Other | SC | SELECT HEALTH OF SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 3236 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
23 Main St, Ste 101a, Hilton Headisland, SC 29926-6607 Ph: (843) 681-6070 | 23 Main St, Ste 101a, Hilton Headisland, SC 29926-6607 Ph: (843) 681-6070 |