| NPI | 1134528375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI PETTIS Director Of Audiology/Owner 803-549-6077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: MO 2013008765) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |