MEDICARE: KARLA PYLE MCKENZIE AUD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	AUD001397	GA
2	237600000X	Audiologist-Hearing Aid Fitter	AUD001397	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1104186337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARLA PYLE MCKENZIE AUD

Provider Business Mailing Address
First Line	:	322 COMMERCIAL DR
Second Line	:	SUITE 2
City	:	SAVANNAH
State	:	GA
Zip	:	31406-3625
Country	:	US
Telephone Number	:	912-355-2335
Fax Number	:	912-355-2301

Provider Business Practice Location Address
First Line	:	128 FRANCES MEEKS WAY STE 1
Second Line	:
City	:	RICHMOND HILL
State	:	GA
Zip	:	31324-3984
Country	:	US
Telephone Number	:	912-445-4710
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2012
Last Update Date	:	04/04/2022

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