Individual
JORGE EDUARDO GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-6104
(252) 744-6148
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
13818
NC
231H00000X
Audiologist
AT005967
PA
231HA2400X
Assistive Technology Practitioner Audiologist
AT005967
PA
231HA2500X
Assistive Technology Supplier Audiologist
AT005967
PA
237600000X
Audiologist-Hearing Aid Fitter
AT005967
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9112600
—
VA
Enumeration date
10/23/2006
Last updated
02/12/2024
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