Healthcare Provider Details

I. General information

NPI: 1992317424
Provider Name (Legal Business Name): WATSON HEARING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2020
Last Update Date: 11/28/2023
Certification Date: 11/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 N JACKSON ST STE A
TULLAHOMA TN
37388-2373
US

IV. Provider business mailing address

930 N JACKSON ST STE A
TULLAHOMA TN
37388-2373
US

V. Phone/Fax

Practice location:
  • Phone: 931-952-0407
  • Fax:
Mailing address:
  • Phone: 931-952-0407
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: AMY WATSON
Title or Position: OWNER
Credential: HIS
Phone: 931-247-7856