Healthcare Provider Details

I. General information

NPI: 1124370168
Provider Name (Legal Business Name): BAY AUDIOLOGY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2012
Last Update Date: 10/15/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 MEDICAL PARK DR BLDG 1 STE 103
MOBILE AL
36693-3318
US

IV. Provider business mailing address

3401 MEDICAL PARK DR BLDG 1 STE 103
MOBILE AL
36693-3318
US

V. Phone/Fax

Practice location:
  • Phone: 251-689-3241
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: PAMELA VAUTIER
Title or Position: OWNER
Credential:
Phone: 251-689-3241