Healthcare Provider Details

I. General information

NPI: 1811289077
Provider Name (Legal Business Name): ARMIN INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2011
Last Update Date: 08/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3626 WALTON WAY EXT STE 12
AUGUSTA GA
30909-6421
US

IV. Provider business mailing address

11900 US HIGHWAY 280
ELLABELL GA
31308-3603
US

V. Phone/Fax

Practice location:
  • Phone: 706-731-9943
  • Fax:
Mailing address:
  • Phone: 912-507-7280
  • Fax: 678-802-0542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberLCB19990009059
License Number StateGA

VIII. Authorized Official

Name: ARTHUR SMITH
Title or Position: PRESIDENT
Credential: BC-HIS
Phone: 843-270-8929