Healthcare Provider Details

I. General information

NPI: 1104186337
Provider Name (Legal Business Name): KARLA PYLE MCKENZIE AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2012
Last Update Date: 04/04/2022
Certification Date: 04/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 FRANCES MEEKS WAY STE 1
RICHMOND HILL GA
31324-3984
US

IV. Provider business mailing address

322 COMMERCIAL DR SUITE 2
SAVANNAH GA
31406-3625
US

V. Phone/Fax

Practice location:
  • Phone: 912-445-4710
  • Fax:
Mailing address:
  • Phone: 912-355-2335
  • Fax: 912-355-2301

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD001397
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAUD001397
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: