Healthcare Provider Details

I. General information

NPI: 1932611266
Provider Name (Legal Business Name): A&A HEARING GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2017
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6372 MECHANICSVILLE TPKE STE 105
MECHANICSVILLE VA
23111-4705
US

IV. Provider business mailing address

19110 MONTGOMERY VILLAGE AVE STE 120
MONTGOMERY VILLAGE MD
20886-3706
US

V. Phone/Fax

Practice location:
  • Phone: 804-559-4625
  • Fax: 804-559-4627
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: ROSS EMERSON CUSHING
Title or Position: OWNER/AUDIOLOGIST
Credential:
Phone: 301-358-1833