Provider Demographics
NPI:1124431507
Name:WOODS HEARING CORP
Entity type:Organization
Organization Name:WOODS HEARING CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:843-388-4853
Mailing Address - Street 1:311 JOHNNIE DODDS BLVD
Mailing Address - Street 2:STE 121
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-2975
Mailing Address - Country:US
Mailing Address - Phone:843-388-4853
Mailing Address - Fax:843-654-9922
Practice Address - Street 1:311 JOHNNIE DODDS BLVD
Practice Address - Street 2:STE 121
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-2975
Practice Address - Country:US
Practice Address - Phone:843-388-4853
Practice Address - Fax:843-654-9922
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment