Healthcare Provider Details

I. General information

NPI: 1407198898
Provider Name (Legal Business Name): COMMAND HEARING CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2013
Last Update Date: 04/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4180 OAK RIDGE AVE STE C
MOBILE AL
36619-1851
US

IV. Provider business mailing address

4180 OAK RIDGE AVE STE C
MOBILE AL
36619-1851
US

V. Phone/Fax

Practice location:
  • Phone: 251-662-1930
  • Fax: 251-662-1932
Mailing address:
  • Phone: 251-662-1930
  • Fax: 251-662-1932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberAS4767
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHA0593
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number4159
License Number StateAL

VIII. Authorized Official

Name: MR. GARY EUGENE MILLS
Title or Position: OWNER
Credential: H.I.S. B-C
Phone: 251-654-4153