Provider Demographics
NPI:1891807939
Name:HEARING HEALTH CARE, P. A.
Entity Type:Organization
Organization Name:HEARING HEALTH CARE, P. A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BENBOW
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:843-497-6156
Mailing Address - Street 1:5913 N KINGS HWY
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-2329
Mailing Address - Country:US
Mailing Address - Phone:843-497-6156
Mailing Address - Fax:843-449-9946
Practice Address - Street 1:5913 N KINGS HWY
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-2329
Practice Address - Country:US
Practice Address - Phone:843-497-6156
Practice Address - Fax:843-449-9946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2008-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC336231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCSA0063Medicaid
SC4201Medicare PIN