Healthcare Provider Details

I. General information

NPI: 1396133229
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

944 DAWSONVILLE HWY SUITE 300 B
GAINESVILLE GA
30501-2619
US

IV. Provider business mailing address

4574 CALHOUN MEMORIAL HWY
EASLEY SC
29640-3825
US

V. Phone/Fax

Practice location:
  • Phone: 770-536-5552
  • 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 NumberHADE035085
License Number StateGA

VIII. Authorized Official

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