Organization
DOCTORS HEARING CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEWIS B GIDLEY AU.D. (OWNER)
(252) 355-0909
Entity
Organization
Contact information
Practice address
2140 W ARLINGTON BLVD STE C, GREENVILLE, NC 27834-5709
(252) 355-0909
(252) 355-1899
Mailing address
2140 W ARLINGTON BLVD STE C, GREENVILLE, NC 27834-5709
(252) 355-0909
(252) 355-1899
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
#640
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012EP
BLUE CROSS/ BLUE SHIELD OF NC
NC
05
—
3404215
—
NC
Enumeration date
01/09/2009
Last updated
03/04/2009
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