Individual
CAROL REID RUNYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
701 N STATE OF FRANKLIN RD STE 5, JOHNSON CITY, TN 37604-3645
(423) 928-9285
(423) 328-0795
Mailing address
6700 WASHINGTON AVE S, EDEN PRAIRIE, MN 55344-3405
(800) 328-8602
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
2201001303
VA
231H00000X
Audiologist
A0000001097
TN
237600000X
Audiologist-Hearing Aid Fitter
Primary
2101001591
VA
237700000X
Hearing Instrument Specialist
—
—
Other
Enumeration date
11/15/2005
Last updated
11/09/2018
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