| NPI | 1497727564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY O MILLER Office Administrator 912-267-1569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA AUD003521) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: GA AUD003627) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-01-20 |