Healthcare Provider Details

I. General information

NPI: 1750529848
Provider Name (Legal Business Name): GAINESVILLE HEARING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2009
Last Update Date: 01/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 JOHN W MORROW JR PKWY SUITE 113
GAINESVILLE GA
30501-8531
US

IV. Provider business mailing address

250 JOHN W MORROW JR PKWY SUITE 113
GAINESVILLE GA
30501-8531
US

V. Phone/Fax

Practice location:
  • Phone: 770-532-5092
  • Fax:
Mailing address:
  • Phone: 770-532-5092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD1240
License Number StateGA

VIII. Authorized Official

Name: DR. MARILYN T SCHORN-BELLOWS
Title or Position: DOCTOR OF AUDIOLOGY
Credential:
Phone: 770-532-5092