Provider Demographics
NPI:1598553398
Name:WACCAMAW HEARING SPECIALIST
Entity type:Organization
Organization Name:WACCAMAW HEARING SPECIALIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:K
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:843-546-7272
Mailing Address - Street 1:401 MARINA DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:SC
Mailing Address - Zip Code:29440-2410
Mailing Address - Country:US
Mailing Address - Phone:843-318-6323
Mailing Address - Fax:843-318-6323
Practice Address - Street 1:401 MARINA DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:SC
Practice Address - Zip Code:29440-2410
Practice Address - Country:US
Practice Address - Phone:843-318-6323
Practice Address - Fax:843-318-6323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty