MEDICARE: ATLANTA HEARING DOCTOR

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	AUD001278	GA

General Provider Information

NPI Number	:	1184795221
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTA HEARING DOCTOR

Provider Business Mailing Address
First Line	:	5885 GLENRIDGE DRIVE
Second Line	:	SUITE 155
City	:	ATLANTA
State	:	GA
Zip	:	30328-5512
Country	:	US
Telephone Number	:	404-252-7528
Fax Number	:	404-480-8842

Provider Business Practice Location Address
First Line	:	5885 GLENRIDGE DRIVE
Second Line	:	SUITE 155
City	:	ATLANTA
State	:	GA
Zip	:	30328-5512
Country	:	US
Telephone Number	:	404-252-7528
Fax Number	:	404-480-8842

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. MARIA WYNENS
Credential	:
Telephone Number	:	404-252-7228

Provider Enumeration Date	:	11/12/2006
Last Update Date	:	12/13/2019

Similar Medicare Providers

1275594418 — MS. MARIA SZCZEPANSKI WYNENS
Practice Location Address:

5885 GLENRIDGE DRIVE , SUITE 155
ATLANTA, GA
30328-5512

Practice Phone: 404-252-7528
Practice Fax: 404-480-8842

1316964836 — DR. DOUGLAS W WHITE MD
Practice Location Address:

5885 GLENRIDGE DR
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1477572923 — DR. COLETTE M HALL M.D.
Practice Location Address:

5885 GLENRIDGE DR NE , SUITE 250
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1215956495 — DR. KELLY BURTON THRASHER M.D.
Practice Location Address:

5885 GLENRIDGE DR NE , SUITE 200
ATLANTA, GA
30328-5512

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1639191828 — DR. KIRK ALAN PAULK M.D.
Practice Location Address:

5885 GLENRIDGE DR NE , SUITE 250
ATLANTA, GA
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1659476232 — KEVIN D GOODLOW MD
Practice Location Address:

5885 GLENRIDGE DR NE , SUITE 200
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30328-5512

Practice Phone: 404-252-7526
Practice Fax: 404-851-1709

Directions to “ATLANTA HEARING DOCTOR ” Practice Location

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