Provider Demographics
NPI:1467642595
Name:HEARING CENTER INC
Entity Type:Organization
Organization Name:HEARING CENTER INC
Other - Org Name:AUDIOLOGY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:JR
Authorized Official - Credentials:MAUD CCCA
Authorized Official - Phone:803-796-3544
Mailing Address - Street 1:810 DUTCH SQUARE BLVD STE 120
Mailing Address - Street 2:HEARING CENTER INC DBA AUDIOLOGY SERVICES
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29210-7318
Mailing Address - Country:US
Mailing Address - Phone:803-796-3544
Mailing Address - Fax:803-794-1952
Practice Address - Street 1:810 DUTCH SQUARE BLVD STE 120
Practice Address - Street 2:HEARING CENTER INC DBA AUDIOLOGY SERVICES
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29210-7318
Practice Address - Country:US
Practice Address - Phone:803-796-3544
Practice Address - Fax:803-794-1952
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARING CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-25
Last Update Date:2013-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC468237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty