Healthcare Provider Details

I. General information

NPI: 1497169346
Provider Name (Legal Business Name): THE LISTENING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2014
Last Update Date: 06/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 WATERS AVE
SAVANNAH GA
31404-6220
US

IV. Provider business mailing address

PO BOX 14395
SAVANNAH GA
31416-1395
US

V. Phone/Fax

Practice location:
  • Phone: 912-644-0722
  • Fax: 912-644-0757
Mailing address:
  • Phone: 912-644-0722
  • Fax: 912-644-0757

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number031304
License Number StateGA

VIII. Authorized Official

Name: DR. MANNING MILES GOLDSMITH
Title or Position: OWNER
Credential: MD,FACS
Phone: 912-644-0705