| NPI | 1851446389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK B. LITTLE Audiologist Owner 803-641-6104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: SC 3423) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: SC 3420) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |