Healthcare Provider Details

I. General information

NPI: 1194972406
Provider Name (Legal Business Name): SUSAN TIMNA AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2008
Last Update Date: 02/11/2025
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 LAKE STREET SUITE 160
SAVANNAH GA
31411
US

IV. Provider business mailing address

122 CAROLINE'S RETREAT
SAVANNAH GA
31406
US

V. Phone/Fax

Practice location:
  • Phone: 912-777-8580
  • Fax:
Mailing address:
  • Phone: 912-777-8580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number002062
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number002062
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: