Organization
LIFEALOUD
Active
Other names
Beach Audiology
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON P. WIGAND AUD (OWNER, AUDIOLOGIST)
(614) 202-7508
Entity
Organization
Contact information
Practice address
950 48TH AVE N STE 101, MYRTLE BEACH, SC 29577-5434
(843) 491-9008
(843) 491-9009
Mailing address
950 48TH AVE N STE 101, MYRTLE BEACH, SC 29577-5434
(843) 491-9008
(843) 491-9009
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Enumeration date
08/09/2021
Last updated
07/06/2022
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