Organization
UPSTATE HEARING AND BALANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN MILES JACKSON AUD (OWNER, AUDIOLOGIST)
(803) 528-7069
Entity
Organization
Contact information
Practice address
25 WOODS LAKE RD STE 401, GREENVILLE, SC 29607-2763
(803) 528-7069
Mailing address
9 CARRONBRIDGE WAY, GREENVILLE, SC 29609-6818
(803) 528-7069
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
10/28/2021
Last updated
10/28/2021
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