Organization
SHOALS HEARING CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD LEE GRESHAM AU.D. (PRESIDENT)
(256) 740-8383
Entity
Organization
Contact information
Practice address
433 N PINE ST, FLORENCE, AL 35630-4654
(256) 740-8383
(256) 740-8386
Mailing address
433 N PINE ST, FLORENCE, AL 35630-4654
(256) 740-8383
(256) 740-8386
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
587-A
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009905080
—
AL
05
—
009907280
—
AL
05
—
529901740
—
AL
Enumeration date
03/22/2007
Last updated
10/26/2016
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