Provider Demographics
NPI:1215020102
Name:CAROLINA HEARING GROUP INC
Entity Type:Organization
Organization Name:CAROLINA HEARING GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:919-782-7112
Mailing Address - Street 1:805 SPRING FOREST RD
Mailing Address - Street 2:STE 800
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-9123
Mailing Address - Country:US
Mailing Address - Phone:919-874-0338
Mailing Address - Fax:919-874-0339
Practice Address - Street 1:805 SPRING FOREST RD
Practice Address - Street 2:STE 800
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-9123
Practice Address - Country:US
Practice Address - Phone:919-874-0338
Practice Address - Fax:919-874-0339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2010-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty