Jorge Eduardo Gonzalez, Ph.D.
Audiologist in Greenville, NC. Individual provider (NPI-1).
NPI number1679656821
StatusActive
Last updated in NPPESFeb 12, 2024
Details
- NPI
- 1679656821
- Entity type
- Individual (NPI-1)
- Name
- Jorge Eduardo Gonzalez
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2006
- Certification date
- Feb 12, 2024
- Last updated
- Feb 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 13818 | NC | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | AT005967 | PA | |
| 231H00000X | Audiologist | AT005967 | PA | |
| 231HA2400X | Audiologist, Assistive Technology Practitioner | at005967 | PA | |
| 231HA2500X | Audiologist, Assistive Technology Supplier | AT005967 | PA |
Practice location
600 Moye BlvdGreenville, NC 27834-4300
Phone 252-744-6104 · Fax 252-744-6148
Mailing address
Po Box 751069Charlotte, NC 28275-1069
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