| NPI | 1154760908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL FREDERICK VAUGHT President 770-972-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA AUD003479) |
| Enumeration Date | 2013-06-14 |
| Last Update Date | 2013-06-14 |