Provider Demographics
NPI:1942043948
Name:MARSTON AUDIOLOGY GROUP PLLC
Entity type:Organization
Organization Name:MARSTON AUDIOLOGY GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARSTON
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:920-918-0085
Mailing Address - Street 1:204 MEADOWCREST PL
Mailing Address - Street 2:
Mailing Address - City:HOLLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:27540-9490
Mailing Address - Country:US
Mailing Address - Phone:920-918-0085
Mailing Address - Fax:
Practice Address - Street 1:1525 APEX PEAKWAY STE 105
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-5113
Practice Address - Country:US
Practice Address - Phone:920-918-0085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty