Organization
CENTRAL CAROLINA AUDIOLOGICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRINA BEDSAUL AU.D. (DOCTOR OF AUDIOLOGY)
(336) 774-1113
Entity
Organization
Contact information
Practice address
751 BETHESDA RD STE 100, WINSTON SALEM, NC 27103-3301
(336) 774-1113
(336) 774-1467
Mailing address
751 BETHESDA RD STE 100, WINSTON SALEM, NC 27103-3301
(336) 774-1113
(336) 774-1467
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2601
NC
332B00000X
Durable Medical Equipment & Medical Supplies
2601
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126V
BLUE CROSS BLUE SHIELD #
NC
05
—
7211385
—
NC
Enumeration date
02/20/2007
Last updated
07/13/2020
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