Provider Demographics
NPI:1215260187
Name:HEARING SOLUTIONS OF THE CAROLINAS
Entity type:Organization
Organization Name:HEARING SOLUTIONS OF THE CAROLINAS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PERRY
Authorized Official - Middle Name:GREGG
Authorized Official - Last Name:WILTFANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-576-2200
Mailing Address - Street 1:2890 REIDVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-5640
Mailing Address - Country:US
Mailing Address - Phone:864-576-2200
Mailing Address - Fax:864-576-2200
Practice Address - Street 1:2890 REIDVILLE RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-5640
Practice Address - Country:US
Practice Address - Phone:864-576-2200
Practice Address - Fax:864-576-2200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHAS-483332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment