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Organization
UPSTATE HEARING AND BALANCE LLC
Active
Organization
UPSTATE HEARING AND BALANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MILES JACKSON AUD (OWNER, AUDIOLOGIST)
(803) 528-7069
Entity
Organization
Contact information
Practice address
25 WOODS LAKE RD STE 401, GREENVILLE, SC 29607-2763
(803) 528-7069
Mailing address
9 CARRONBRIDGE WAY, GREENVILLE, SC 29609-6818
(803) 528-7069
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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