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 |