# BLUE RIDGE HEARING, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** miracle-ear
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558549691
- **Authorized official:** LAWTON ETHERIDGE (HEARING AID SPECIALIST)
- **Authorized official phone:** (800) 937-6327

## Contact information

- **Practice address:** 3314 HEALY DR, SUITE 106, WINSTON SALEM, NC 27103-1408
- **Practice address phone:** (800) 937-6327
- **Mailing address:** PO BOX 6115, BLUEFIELD, WV 24701-6115
- **Mailing address phone:** (800) 937-6327

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | 451 | NC | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 01/31/2008
