Provider Demographics
NPI:1376714956
Name:THIGPEN HEARING CENTER, PLLC
Entity Type:Organization
Organization Name:THIGPEN HEARING CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:ABEL
Authorized Official - Last Name:VAVROCK
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:615-494-4344
Mailing Address - Street 1:315 ROBERT ROSE DR STE E
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-6361
Mailing Address - Country:US
Mailing Address - Phone:615-494-4344
Mailing Address - Fax:615-494-5329
Practice Address - Street 1:315 ROBERT ROSE DR STE E
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-6361
Practice Address - Country:US
Practice Address - Phone:615-494-4344
Practice Address - Fax:615-494-5329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-21
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA0000000234231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNA0000000234OtherLICENSE