Healthcare Provider Details

I. General information

NPI: 1962890889
Provider Name (Legal Business Name): MCKINNEY HEARING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2014
Last Update Date: 12/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6783 VETERANS PKWY BLDG 4 SUITE 300
COLUMBUS GA
31909-3254
US

IV. Provider business mailing address

4574 CALHOUN MEMORIAL HWY
EASLEY SC
29640-3825
US

V. Phone/Fax

Practice location:
  • Phone: 706-576-9888
  • Fax:
Mailing address:
  • Phone: 704-574-8688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberHADE035084
License Number StateGA

VIII. Authorized Official

Name: DR. SHELLI MURRAY
Title or Position: PRESIDENT
Credential:
Phone: 704-574-8688