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Organization
LIFESTYLE HEARING CORPORATION USA INC.
Active
Organization
LIFESTYLE HEARING CORPORATION USA INC.
Active
Other names
Hilton Head Hearing Services
Organization subpart
No
Provider details
NPI number
Authorized official
NAINA BALLACHANDA (VP-NATIONAL INSURANCE ADMINISTRATIO)
(505) 821-6715
Entity
Organization
Contact information
Practice address
23 MAIN ST, STE 101A, HILTON HEADISLAND, SC 29926-6607
(843) 681-6070
(843) 681-6673
Mailing address
23 MAIN ST, STE 101A, HILTON HEADISLAND, SC 29926-6607
(843) 681-6070
(843) 681-6673
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3236
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20066267
SELECT HEALTH OF SC
SC
05
—
SA 0409 GP1710
—
SC
Enumeration date
07/23/2007
Last updated
07/17/2015
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