MEDICARE: AUDIOLOGICAL CONSULTANTS OF ATLANTA, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	237600000X	Audiologist-Hearing Aid Fitter
2	231HA2400X	Assistive Technology Practitioner Audiologist
3	231HA2500X	Assistive Technology Supplier Audiologist
4	231H00000X	Audiologist

General Provider Information

NPI Number	:	1912942301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUDIOLOGICAL CONSULTANTS OF ATLANTA, INC.

Provider Business Mailing Address
First Line	:	6018 SANDY SPRINGS CIR NE
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30328-3832
Country	:	US
Telephone Number	:	404-256-5194
Fax Number	:	404-256-5151

Provider Business Practice Location Address
First Line	:	6018 SANDY SPRINGS CIR NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-3832
Country	:	US
Telephone Number	:	404-256-5194
Fax Number	:	404-256-5151

Authorized Official
Title or Position	:	CO-DIRECTOR
Name	:	KADYN WILLIAMS
Credential	:
Telephone Number	:	404-256-5194

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	08/09/2011

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