Healthcare Provider Details

I. General information

NPI: 1497900518
Provider Name (Legal Business Name): HEARING ASSOCIATES OF DOTHAN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/18/2008
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 GROVE PARK LN STE 800
DOTHAN AL
36305-5912
US

IV. Provider business mailing address

200 GROVE PARK LN STE 800
DOTHAN AL
36305-5912
US

V. Phone/Fax

Practice location:
  • Phone: 334-702-4327
  • Fax: 334-702-4328
Mailing address:
  • Phone: 334-702-4327
  • Fax: 334-702-4328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number961A
License Number StateAL
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number923A
License Number StateAL

VIII. Authorized Official

Name: DR. JAMIE BURTON SHUMAKER
Title or Position: AUDIOLOGIST/MEMBER
Credential: AU.D.
Phone: 334-702-4327