Individual
ELLEN M EMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D
Contact information
Practice address
153 E N B BAROODY ST, FLORENCE, SC 29506-2523
(843) 662-7802
(843) 662-5609
Mailing address
153 E N B BAROODY ST, FLORENCE, SC 29506-2523
(843) 662-7802
(843) 662-5609
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
3692
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30121507
SELECT HEALTH OF SC
SC
01
—
6987236
CIGNA
NC
05
—
7413812
—
NC
01
—
9790602
AETNA
NC
01
—
P01377062
MEDICARE, RAILROAD
NC
01
—
P01388645
RAILROAD MEDICARE
SC
01
—
Q427035874
MEDICARE
SC
05
—
SAN101
—
SC
Enumeration date
12/15/2010
Last updated
06/01/2023
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