FOREST LAKE AUDIOLOGY LLC

COLUMBIA, SC
NPI1407212525
Entity TypeOrganization
Authorized ContactTODD GIBSON
Owner
803-888-7330
Organization Subpart ?No
Primary Taxonomy231H00000X Audiologist
(Licence: SC  SC3435)
Enumeration Date2016-01-05
Last Update Date2016-03-16
Business Address
FOREST LAKE AUDIOLOGY LLC
5301 N TRENHOLM RD SUITE A
COLUMBIA, SC 29206-3226
Phone number: 803-888-7330
Mailing Address
FOREST LAKE AUDIOLOGY LLC
5301 N TRENHOLM RD SUITE A
COLUMBIA, SC 29206-3226
Phone number: 803-888-7330