| NPI | 1366820276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNETTE ELISABETH BROOKS Administrator 678-508-6832 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: GA AUD003409) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2015-05-12 |