| Dr Shelley Lynn Anderson, AUD | |
|
57 Grant Dr Ste F, Pittsboro, NC 27312-9975 | |
| (984) 974-5300 | |
| (984) 974-5305 |
| Full Name | Dr Shelley Lynn Anderson |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 57 Grant Dr Ste F, Pittsboro, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265813745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | AY1949 (Florida) | Secondary |
| 231H00000X | Audiologist | 12919 (North Carolina) | Primary |
| Provider Name | Florida Ent Associates Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184625733 PECOS PAC ID: 4587556923 Enrollment ID: O20040329001213 |
| Provider Name | Coastal Ear Nose & Throat Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1265417729 PECOS PAC ID: 7911083696 Enrollment ID: O20080320000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shelley Lynn Anderson, AUD 15280 Nw 79th Ct Ste 200, Miami Lakes, FL 33016-5873 Ph: (305) 558-3732 | Dr Shelley Lynn Anderson, AUD 57 Grant Dr Ste F, Pittsboro, NC 27312-9975 Ph: (984) 974-5300 |
Dr. Haley Wagner, AU.D. Audiologist Medicare: Medicare Enrolled Practice Location: 57 Grant Dr Ste F, Pittsboro, NC 27312 Phone: 984-215-6750 | |
Dr. Sally Grantham, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 57 Grant Dive, Suite F, Pittsboro, NC 27312 Phone: 918-215-6740 |