Individual
DR. JACQUELYN DAVIS NIEDRINGHAUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1169 EBENEZER RD, ROCK HILL, SC 29732-2364
(803) 327-1900
(803) 327-4146
Mailing address
1364 EBENEZER RD, ROCK HILL, SC 29732-2337
(803) 327-1900
(803) 327-4146
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
457
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1087
—
SC
05
—
SA0017
—
SC
Enumeration date
05/01/2006
Last updated
09/27/2016
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