Organization
MOUNTAIN AUDIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE OSBORNE GANT AU. D. (OWNER)
(828) 627-1950
Entity
Organization
Contact information
Practice address
61 HAYWOOD PARK DR STE B, CLYDE, NC 28721-4404
(828) 627-1950
(828) 627-1070
Mailing address
61 HAYWOOD PARK DR STE B, CLYDE, NC 28721-4404
(828) 627-1950
(828) 627-1070
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2059
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7001509
—
NC
05
—
7411092
—
NC
Enumeration date
04/16/2007
Last updated
08/22/2020
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