| Dr Graham Leonard Wilde, PHD | |
|
5315b Sunset Blvd, Lexington, SC 29072-9159 | |
| (803) 808-9611 | |
| (803) 808-6848 |
| Full Name | Dr Graham Leonard Wilde |
|---|---|
| Gender | Male |
| Speciality | Audiologist |
| Location | 5315b Sunset Blvd, Lexington, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396812376 | NPI | - | NPPES |
| AUD000296 | Other | GA | STATE AUDIOLOGY LICENSE |
| SA0007 | Medicaid | SC | |
| 249 | Other | SC | STATE AUDIOLOGY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 249 (South Carolina) | Primary |
| 231H00000X | Audiologist | AUD000296 (Georgia) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Graham Leonard Wilde, PHD 5315b Sunset Blvd, Lexington, SC 29072-9159 Ph: (803) 808-9611 | Dr Graham Leonard Wilde, PHD 5315b Sunset Blvd, Lexington, SC 29072-9159 Ph: (803) 808-9611 |
Stephanie Bergeron, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 157 Corley Mill Rd, Lexington, SC 29072 Phone: 803-256-7041 Fax: 803-079-9462 | |
Jessica Holt, Audiologist Medicare: Accepting Medicare Assignments Practice Location: 157 Corley Mill Rd, Lexington, SC 29072 Phone: 803-256-2483 Fax: 803-799-4624 | |
Horace E Beasley, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 157 Corley Mill Rd, Lexington, SC 29072 Phone: 803-256-7041 Fax: 803-799-4624 | |
Dr. Todd Matthew Gibson, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 5315b Sunset Blvd, Lexington, SC 29072 Phone: 803-808-9611 | |
Dr. Leanne Morgan Gardner, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 157 Corley Mill Rd, Lexington, SC 29072 Phone: 803-256-2483 | |
Dr. Helena Raquel Pinheiro, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 150 Whiteford Way, Lexington, SC 29072 Phone: 803-470-2621 |