Organization
BLUE RIDGE HEARING, INC
Active
Other names
miracle-ear
Organization subpart
No
Provider details
NPI number
Authorized official
LAWTON ETHERIDGE (HEARING AID SPECIALIST)
(800) 937-6327
Entity
Organization
Contact information
Practice address
3314 HEALY DR, SUITE 106, WINSTON SALEM, NC 27103-1408
(800) 937-6327
Mailing address
PO BOX 6115, BLUEFIELD, WV 24701-6115
(800) 937-6327
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
451
NC
Other
Enumeration date
01/31/2008
Last updated
01/31/2008
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