Healthcare Provider Details

I. General information

NPI: 1215847348
Provider Name (Legal Business Name): ATHAVALE HEARING AIDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

970 JOE FRANK HARRIS PKWY SE STE 330
CARTERSVILLE GA
30120-2162
US

IV. Provider business mailing address

970 JOE FRANK HARRIS PKWY SE STE 330
CARTERSVILLE GA
30120-2162
US

V. Phone/Fax

Practice location:
  • Phone: 770-217-6224
  • Fax: 706-216-4830
Mailing address:
  • Phone: 770-217-6224
  • Fax: 706-216-4830

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: CHRISTY NALLY
Title or Position: BUSINESS MANAGER
Credential:
Phone: 770-217-6224