Organization
KOCH HEARING LLC
Active
Other names
Evolution Hearing
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY R THACHER (BUSINESS DIRECTOR)
(919) 995-3823
Entity
Organization
Contact information
Practice address
2297 SEMINOLE LN, CHARLOTTESVILLE, VA 22901-8300
(919) 995-3823
(434) 299-8892
Mailing address
25 KENSINGTON DR, YOUNGSVILLE, NC 27596-7624
(919) 995-3823
(434) 299-8892
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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