Individual
KATHRYN MILES JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
25 WOODS LAKE RD STE 401, GREENVILLE, SC 29607-2763
(864) 770-8822
(864) 770-8882
Mailing address
25 WOODS LAKE RD STE 401, GREENVILLE, SC 29607-2763
(803) 528-7069
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
11495
NC
231H00000X
Audiologist
4069
SC
237600000X
Audiologist-Hearing Aid Fitter
11495
NC
Other
Enumeration date
06/22/2015
Last updated
05/27/2024
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