| NPI | 1316130578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD MATTHEW GIBSON Audiologist/Owner 803-808-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: SC 3435) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |