Provider Demographics
NPI:1659763860
Name:HOYOS, BRENTON ADAMS (HAS)
Entity Type:Individual
Prefix:
First Name:BRENTON
Middle Name:ADAMS
Last Name:HOYOS
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9297 MEDICAL PLAZA DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9136
Mailing Address - Country:US
Mailing Address - Phone:843-569-3603
Mailing Address - Fax:843-569-3605
Practice Address - Street 1:9297 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE B
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9136
Practice Address - Country:US
Practice Address - Phone:843-569-3603
Practice Address - Fax:843-569-3605
Is Sole Proprietor?:No
Enumeration Date:2015-02-25
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCHAS0541237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist