| NPI | 1639563620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WAYNE FIKE Doctor Of Audiology/Owner 803-547-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: SC 3913) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NC 5785) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2015-07-29 |