| NPI | 1992881841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN RAYMOND Program Coordinator 706-542-4559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA 1681) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2022-08-11 |