Healthcare Provider Details

I. General information

NPI: 1407503758
Provider Name (Legal Business Name): AMERICAN HEARING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2022
Last Update Date: 03/07/2022
Certification Date: 03/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 ROSWELL RD STE 110
MARIETTA GA
30062-2945
US

IV. Provider business mailing address

185 SPRING DR
ROSWELL GA
30075-4848
US

V. Phone/Fax

Practice location:
  • Phone: 770-919-8324
  • Fax:
Mailing address:
  • Phone: 205-276-4837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TREY GORMAN
Title or Position: OWNER
Credential:
Phone: 205-276-4837