Organization
UPSTATE FAMILY HEARING CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEREMY JOHN LAFEBRE HIS (MEMBER LLC)
(864) 457-5827
Entity
Organization
Contact information
Practice address
1109C E RUTHERFORD ST, LANDRUM, SC 29356-1728
(864) 457-5827
Mailing address
1109C E RUTHERFORD ST, LANDRUM, SC 29356-1728
(864) 457-5827
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
HAS-0581
SC
Other
Enumeration date
06/07/2018
Last updated
06/07/2018
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