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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