Provider Demographics
NPI:1841794153
Name:CAROLINAS HEARING GROUP LLC
Entity Type:Organization
Organization Name:CAROLINAS HEARING GROUP LLC
Other - Org Name:MIRACLE-EAR CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-354-5934
Mailing Address - Street 1:326 ALBEMARLE AVE SE
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24013-2322
Mailing Address - Country:US
Mailing Address - Phone:540-354-5934
Mailing Address - Fax:
Practice Address - Street 1:960 CIPRIANA DR STE B7
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29572-4627
Practice Address - Country:US
Practice Address - Phone:843-449-1411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty