| NPI | 1912169590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE D. DADE Audiologist 706-587-8289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: GA AUD003725) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |