Individual
LARRY DEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
812 JOHNNIE DODDS BLVD STE B, MT PLEASANT, SC 29464-5900
(843) 884-3399
Mailing address
11900 US HIGHWAY 280, ELLABELL, GA 31308-3603
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
HADS000634
GA
237700000X
Hearing Instrument Specialist
Primary
HAS-0378
SC
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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