Individual
MR. RANDY WAYNE ROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1505 MAIN ST, HILTON HEAD, SC 29926
(843) 547-5832
Mailing address
1505 MAIN ST, HILTON HEAD, SC 29926-1608
(843) 547-5832
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
0640
SC
237700000X
Hearing Instrument Specialist
HA2772
CA
Other
Enumeration date
07/25/2006
Last updated
09/05/2018
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