Organization
BLUE RIDGE HEARING, INC
Active
Other names
MIRACLE-EAR
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY L WIMMER (PRES)
(304) 324-8358
Entity
Organization
Contact information
Practice address
1531 RIO RD E, MIRACLE-EAR @ SEARS, CHARLOTTESVILLE, VA 22901-1402
(434) 973-2388
(304) 324-8308
Mailing address
PO BOX 6115, BLUEFIELD, WV 24701-6115
(304) 324-8358
(304) 324-8308
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
801
WV
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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