| Grand Strand Hearing, Llc | |
|
1016 2nd Ave N, Suite 102, North Myrtle Beach, SC 29582-3287 | |
| (843) 732-6090 | |
| (843) 491-3573 |
| Full Name | Grand Strand Hearing, Llc |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 1016 2nd Ave N, North Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790161669 | NPI | - | NPPES |
| GP072 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Primary |
| Provider Name | Tommi Gray Stanley |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1639336332 PECOS PAC ID: 8729261219 Enrollment ID: I20110321000796 |
| Provider Name | Marissa L Levy |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1124543756 PECOS PAC ID: 2062787401 Enrollment ID: I20180214002315 |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Strand Hearing, Llc 1016 2nd Ave N, Suite 102, North Myrtle Beach, SC 29582-3287 Ph: (843) 732-6090 | Grand Strand Hearing, Llc 1016 2nd Ave N, Suite 102, North Myrtle Beach, SC 29582-3287 Ph: (843) 732-6090 |
Tommi Michelle Gray Stanley, M.S. CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 1016 2nd Ave N Ste 102, North Myrtle Beach, SC 29582 Phone: 843-732-6090 Fax: 843-491-3573 | |
Dr. Kimberly Rae King, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 640 6th Ave S, North Myrtle Beach, SC 29582 Phone: 843-663-4327 Fax: 843-663-3277 |