Individual
DR. GARY FIKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AUD
Contact information
Practice address
127 BEN CASEY DR., SUITE 105, FORT MILL, SC 29708-8557
(803) 547-4327
(803) 547-4329
Mailing address
127 BEN CASEY DR., SUITE 105, FORT MILL, SC 29708-8557
(803) 547-4327
(803) 547-4329
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
5785
NC
237600000X
Audiologist-Hearing Aid Fitter
1077
NC
237600000X
Audiologist-Hearing Aid Fitter
Primary
3913
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024571
CIGNA
—
01
—
1629T
BCBSNC
NC
01
—
30105375
SELECT HEALTH OF SC
SC
05
—
7413287
—
NC
01
—
9066225
AENTA
—
01
—
P01285347
RAILROAD MEDICARE
NC
05
—
SAN076
—
SC
Enumeration date
03/27/2008
Last updated
07/29/2015
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