| NPI | 1053402750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ANNETTE VARNEY Business Manager 276-964-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: VA 2201001303) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: VA 2102002260) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2014-03-14 |