Provider Demographics
NPI:1962534818
Name:CAROLINA HEARING DOCTORS, INC.
Entity type:Organization
Organization Name:CAROLINA HEARING DOCTORS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLON
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:MILLS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:336-766-2677
Mailing Address - Street 1:3780 CLEMMONS RD STE A
Mailing Address - Street 2:
Mailing Address - City:CLEMMONS
Mailing Address - State:NC
Mailing Address - Zip Code:27012-7515
Mailing Address - Country:US
Mailing Address - Phone:336-766-2677
Mailing Address - Fax:336-778-2277
Practice Address - Street 1:3780 CLEMMONS RD STE A
Practice Address - Street 2:
Practice Address - City:CLEMMONS
Practice Address - State:NC
Practice Address - Zip Code:27012-7515
Practice Address - Country:US
Practice Address - Phone:336-766-2677
Practice Address - Fax:336-778-2277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2007-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2116237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty