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NPI Code Detail

MEDICARE: NORTH GEORGIA HEARING AID SPECIALIST LLC

MEDICARE: NORTH GEORGIA HEARING AID SPECIALIST LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332S00000XHearing Aid Equipment

General Provider Information

NPI Number : 1871035592
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH GEORGIA HEARING AID SPECIALIST LLC
Provider Business Mailing Address
First Line : 281 YOUNG HARRIS ST
Second Line : STE C
City : BLAIRSVILLE
State : GA
Zip : 30512-3776
Country : US
Telephone Number : 706-745-1861
Fax Number :
Provider Business Practice Location Address
First Line : 281 YOUNG HARRIS ST
Second Line : STE C
City : BLAIRSVILLE
State : GA
Zip : 30512-3776
Country : US
Telephone Number : 706-745-1861
Fax Number :
Authorized Official
Title or Position : OWNER
Name : CONNIE DUNCAN
Credential :
Telephone Number : 706-745-1861
Provider Enumeration Date : 11/11/2016
Last Update Date : 11/11/2016

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Directions to “NORTH GEORGIA HEARING AID SPECIALIST LLC ” Practice Location

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