Healthcare Provider Details

I. General information

NPI: 1972917722
Provider Name (Legal Business Name): SOUTH ALABAMA HEARING AID SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 06/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 S SAGE AVE
MOBILE AL
36606-3604
US

IV. Provider business mailing address

319 S SAGE AVE
MOBILE AL
36606-3604
US

V. Phone/Fax

Practice location:
  • Phone: 251-479-9409
  • Fax: 251-476-9368
Mailing address:
  • Phone: 251-479-9409
  • Fax: 251-476-9368

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number4044
License Number StateAL

VIII. Authorized Official

Name: MR. DAVID A ADAMS
Title or Position: OWNER/PRES
Credential: AUDIOPROSTHOLOGIST
Phone: 251-479-9409