Healthcare Provider Details

I. General information

NPI: 1922923234
Provider Name (Legal Business Name): MAGNOLIA HEARING AID CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3388 HIGHWAY 53 STE A
HOSCHTON GA
30548-2519
US

IV. Provider business mailing address

815 TUGALO STATE PARK RD
LAVONIA GA
30553-2457
US

V. Phone/Fax

Practice location:
  • Phone: 770-853-9206
  • Fax:
Mailing address:
  • Phone: 678-283-0752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: VICTORIA VOSS SUDDERTH
Title or Position: CEO
Credential:
Phone: 678-283-0752