Provider Demographics
NPI:1326734641
Name:FOOTHILLS HEARING CARE
Entity Type:Organization
Organization Name:FOOTHILLS HEARING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER, HIS
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:COTUNA
Authorized Official - Suffix:
Authorized Official - Credentials:BS, BC-HIS
Authorized Official - Phone:864-524-4249
Mailing Address - Street 1:322 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29650-1521
Mailing Address - Country:US
Mailing Address - Phone:864-524-4249
Mailing Address - Fax:
Practice Address - Street 1:322 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1521
Practice Address - Country:US
Practice Address - Phone:864-524-4249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty