Organization
BLUE RIDGE HEARING INC
Active
Other names
MIRACLE-EAR
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY L WIMMER (PRESIDENT)
(304) 324-8358
Entity
Organization
Contact information
Practice address
11504 MIDLOTHIAN TPKE, MIRACLE-EAR @ SEARS, RICHMOND, VA 23235-4746
(804) 378-9957
(304) 324-8308
Mailing address
PO BOX 6115, BLUEFIELD, WV 24701-6115
(304) 324-8358
(304) 324-8308
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
801
WV
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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