Organization
LAKE MURRAY HEARING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD MATTHEW GIBSON AU.D. (AUDIOLOGIST/OWNER)
(803) 808-9611
Entity
Organization
Contact information
Practice address
5315 SUNSET BLVD STE B, LEXINGTON, SC 29072-8712
(803) 808-9611
(803) 808-6848
Mailing address
5315 SUNSET BLVD STE B, LEXINGTON, SC 29072-8712
(803) 808-9611
(803) 808-6848
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
3435
SC
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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