Organization
PALMETTO FAMILY HEARING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY WAYNE FIKE JR. AUD (DOCTOR OF AUDIOLOGY/OWNER)
(803) 547-4327
Entity
Organization
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
261QH0700X
Hearing and Speech Clinic/Center
Primary
3913
SC
261QH0700X
Hearing and Speech Clinic/Center
5785
NC
Other
Enumeration date
03/27/2015
Last updated
07/29/2015
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