Individual
JACQUELINE MARIE FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
(843) 763-3834
Mailing address
2295 HENRY TECKLENBURG DR, CHARLESTON, SC 29414-7801
(843) 766-7103
(843) 763-3834
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
4046
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4046
SC LICENSE
SC
Enumeration date
06/07/2016
Last updated
01/09/2017
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