Organization
BELTONE COASTAL CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RAE KING AU.D. (PRESIDENT)
(843) 663-4327
Entity
Organization
Contact information
Practice address
58 PHYSICIANS DR, SUITE 106, SUPPLY, NC 28462-4215
(910) 754-5227
(910) 754-8773
Mailing address
640 6TH AVE S, NORTH MYRTLE BEACH, SC 29582-3310
(843) 663-4327
(843) 663-3277
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
5508
NC
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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