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Individual

CHRISTINA PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
(843) 763-3834
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
(843) 763-3834

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
4051
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4051
STATE LICENSE
SC
Enumeration date
06/22/2016
Last updated
09/15/2016
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