Organization
FIVE FORKS HEARING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODERICK BUNCHE (OWNER/LICENSED HIS)
(864) 365-6144
Entity
Organization
Contact information
Practice address
400 S MAIN ST STE B-1, MAULDIN, SC 29662-2251
(864) 365-6144
Mailing address
PO BOX 6394, GREENVILLE, SC 29606-6394
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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