Healthcare Provider Details

I. General information

NPI: 1124536750
Provider Name (Legal Business Name): JD REYNOLDS INC., DBA BELTONE HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 11/22/2024
Certification Date: 11/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11619 ABERCORN ST
SAVANNAH GA
31419-1903
US

IV. Provider business mailing address

100 COMMERCIAL CT STE A
SAVANNAH GA
31406-3655
US

V. Phone/Fax

Practice location:
  • Phone: 912-352-1000
  • Fax:
Mailing address:
  • Phone: 912-352-1000
  • Fax: 912-352-1978

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JIM REYNOLDS
Title or Position: OWNER
Credential: HCP
Phone: 912-352-1000