Healthcare Provider Details

I. General information

NPI: 1760736581
Provider Name (Legal Business Name): HEAR BETTER HOLDINGS OF GWINNETT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2012
Last Update Date: 10/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4145 LAWRENCEVILLE HWY NW SUITE 10A
LILBURN GA
30047-2807
US

IV. Provider business mailing address

223 WILMINGTON W CHESTER PIKE SUITE 214
CHADDS FORD PA
19317-9007
US

V. Phone/Fax

Practice location:
  • Phone: 770-717-5711
  • Fax:
Mailing address:
  • Phone: 888-720-7980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAUD001032
License Number StateGA

VIII. Authorized Official

Name: LAURA B DENNISON
Title or Position: GENERAL MANAGER
Credential: AUD
Phone: 888-720-7980