Healthcare Provider Details

I. General information

NPI: 1710117775
Provider Name (Legal Business Name): READY AND FORDWARD ENT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2009
Last Update Date: 07/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2090 DUNWOODY CLUB DR STE. 106-246
ATLANTA GA
30350-5434
US

IV. Provider business mailing address

2090 DUNWOODY CLUB DR STE. 106-246
ATLANTA GA
30350-5434
US

V. Phone/Fax

Practice location:
  • Phone: 770-484-4850
  • Fax: 770-484-4399
Mailing address:
  • Phone: 770-484-4850
  • Fax: 770-484-4399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: MR. WOSSEN BEZABIH
Title or Position: PARTNER
Credential:
Phone: 770-484-4850