| NPI | 1407198898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY EUGENE MILLS Owner 251-654-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AL 4159) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: FL as4767) |
| 237700000X Hearing Instrument Specialist (Licence: MS ha0593) | |
| Enumeration Date | 2013-03-23 |
| Last Update Date | 2013-04-10 |