| NPI | 1487064846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY CHRISTOPHER GAINES Owner/Practitioner 252-773-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: NC 10758) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner |
| 231HA2500X Audiologist, Assistive Technology Supplier | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2016-12-09 |