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Organization

SOUTH ATLANTIC HEARING LLC

Active
Other names
Miracle Ear
Organization subpart
No

Provider details

NPI number
Authorized official
DAWN A CORRIDORE (CREDENTIALING SPECIALIST)
(518) 727-0782
Entity
Organization

Contact information

Practice address
4600 PARK RD STE 102, CHARLOTTE, NC 28209-3238
(704) 332-2914
Mailing address
131 ENTERPRISE RD, JOHNSTOWN, NY 12095-3326
(518) 736-2284

Taxonomy

Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary

Other

Enumeration date
07/03/2007
Last updated
03/17/2026
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