Provider Demographics
NPI:1467710335
Name:ADVANTAGE HEARING SERVICES
Entity Type:Organization
Organization Name:ADVANTAGE HEARING SERVICES
Other - Org Name:ADVANTAGE HEARING & AUDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INSURANCE AND BILLING COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-623-2422
Mailing Address - Street 1:405 PARKWAY STE E
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1693
Mailing Address - Country:US
Mailing Address - Phone:336-623-2422
Mailing Address - Fax:336-612-2699
Practice Address - Street 1:405 PARKWAY STE E
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1693
Practice Address - Country:US
Practice Address - Phone:336-271-4944
Practice Address - Fax:336-275-3082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-30
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4726261QH0700X
NC1354261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech