Healthcare Provider Details

I. General information

NPI: 1285887877
Provider Name (Legal Business Name): ESCHATON, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2008
Last Update Date: 11/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3220 NORTHLAKE PKWY NE
ATLANTA GA
30345-2221
US

IV. Provider business mailing address

3220 NORTHLAKE PKWY NE
ATLANTA GA
30345-2221
US

V. Phone/Fax

Practice location:
  • Phone: 770-491-3900
  • Fax:
Mailing address:
  • Phone: 770-491-3900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD001738
License Number StateGA

VIII. Authorized Official

Name: RICHARD T CALKINS
Title or Position: VICE PRESIDENT
Credential: HAD
Phone: 770-491-3900