Provider Demographics
NPI:1801218532
Name:RGM HOLDINGS
Entity type:Organization
Organization Name:RGM HOLDINGS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:GARRETT
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:JR
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:704-726-6848
Mailing Address - Street 1:1606 E ROOSEVELT BLVD STE 109
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-4049
Mailing Address - Country:US
Mailing Address - Phone:704-726-6848
Mailing Address - Fax:704-943-9148
Practice Address - Street 1:1606 E ROOSEVELT BLVD STE 109
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-4049
Practice Address - Country:US
Practice Address - Phone:704-726-6848
Practice Address - Fax:704-943-9148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC706261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech