| NPI | 1598840027 |
|---|---|
| Former Legal Business Name | WATAUGA HEARING CONSERVATION |
| Entity Type | Organization |
| Authorized Contact | RUSSELL J FANKHOUSER Audiologist 423-929-9101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: TN A0000000247) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2008-07-18 |