Healthcare Provider Details

I. General information

NPI: 1669593687
Provider Name (Legal Business Name): NORTH ALABAMA AUDIOLOGY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

920 6TH AVE SE
DECATUR AL
35601-3920
US

IV. Provider business mailing address

3212 TRAILS END SW
DECATUR AL
35603-1277
US

V. Phone/Fax

Practice location:
  • Phone: 256-353-1016
  • Fax:
Mailing address:
  • Phone: 256-350-9609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number35
License Number StateAL

VIII. Authorized Official

Name: MR. CHARLES R TAYLOR
Title or Position: AUDIOLOGISTAND HEARING AID FITTER
Credential: M.A., CCCA
Phone: 256-353-1016