Individual
GORDON L FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D.
Contact information
Practice address
336 10TH AVE NE, HICKORY, NC 28601-3834
(828) 322-4327
Mailing address
336 10TH AVE NE, HICKORY, NC 28601-3834
(828) 322-4327
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
797
NC
237700000X
Hearing Instrument Specialist
599
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32633
BLUE CROSS BLUE SHIELD NC
NC
05
—
3404284
—
NC
05
—
7411765
—
NC
Enumeration date
03/15/2007
Last updated
11/15/2011
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