| Tommi Michelle Gray Stanley, MS CCC-A | |
|
1016 2nd Ave N Ste 102, North Myrtle Beach, SC 29582-3287 | |
| (843) 732-6090 | |
| (843) 491-3573 |
| Full Name | Tommi Michelle Gray Stanley |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 1016 2nd Ave N Ste 102, North Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639336332 | NPI | - | NPPES |
| SA1158 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 3410 (South Carolina) | Primary |
| Provider Name | Grand Strand Hearing |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1790161669 PECOS PAC ID: 2365757937 Enrollment ID: O20150812007539 |
| Mailing Address | Practice Location Address |
|---|---|
| Tommi Michelle Gray Stanley, MS CCC-A 1016 2nd Ave N Ste 102, North Myrtle Beach, SC 29582-3287 Ph: (843) 732-6090 | Tommi Michelle Gray Stanley, MS CCC-A 1016 2nd Ave N Ste 102, North Myrtle Beach, SC 29582-3287 Ph: (843) 732-6090 |
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 | |
Grand Strand Hearing, Llc Audiologist Medicare: Medicare Enrolled Practice Location: 1016 2nd Ave N, Suite 102, North Myrtle Beach, SC 29582 Phone: 843-732-6090 Fax: 843-491-3573 |