Provider Demographics
NPI:1881752525
Name:CAROLINAHEARINGGROUPINC
Entity type:Organization
Organization Name:CAROLINAHEARINGGROUPINC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRAD
Authorized Official - Middle Name:W
Authorized Official - Last Name:BALDWIN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:919-782-7112
Mailing Address - Street 1:2301 REXWOODS DR
Mailing Address - Street 2:100A
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-3366
Mailing Address - Country:US
Mailing Address - Phone:919-782-7112
Mailing Address - Fax:919-789-9560
Practice Address - Street 1:4206 N ROXBORO ST
Practice Address - Street 2:UNIT 110
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27704-1826
Practice Address - Country:US
Practice Address - Phone:919-477-2040
Practice Address - Fax:919-477-2049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty