Organization
BEACH HEARING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAMELA SUE SMITH (OWNER)
(757) 499-9844
Entity
Organization
Contact information
Practice address
337 EDWIN DR, VIRGINIA BEACH, VA 23462-4560
(757) 499-9844
(757) 499-1460
Mailing address
337 EDWIN DR, VIRGINIA BEACH, VA 23462-4560
(757) 499-9844
(757) 499-1460
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2101001551
VA
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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