| NPI | 1548520752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY HANEY Audiologist 678-637-1265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA AUD003645) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: GA AUD003645) |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: GA AUD003645) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: GA AUD003645) | |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2012-05-22 |