Provider Demographics
NPI:1851446389
Name:HEARING ASSOCIATES OF SOUTH CAROLINA, INC.
Entity Type:Organization
Organization Name:HEARING ASSOCIATES OF SOUTH CAROLINA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGISTOWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:B
Authorized Official - Last Name:LITTLE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:803-641-6104
Mailing Address - Street 1:39 VARDEN DR STE A
Mailing Address - Street 2:
Mailing Address - City:AIKEN
Mailing Address - State:SC
Mailing Address - Zip Code:29803-5202
Mailing Address - Country:US
Mailing Address - Phone:803-641-6104
Mailing Address - Fax:
Practice Address - Street 1:39 VARDEN DR STE A
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29803-5202
Practice Address - Country:US
Practice Address - Phone:803-641-6104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3420231H00000X
SC3423231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty