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NPI Code Detail

MEDICARE: ADVANCED HEARING AND BALANCE LLC

MEDICARE: ADVANCED HEARING AND BALANCE LLC
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
1231H00000XAudiologistA3381MS

General Provider Information

NPI Number : 1982025201
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADVANCED HEARING AND BALANCE LLC
Provider Business Mailing Address
First Line : 5128 OLD HIGHWAY 11 STE 8
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-6234
Country : US
Telephone Number : 601-450-0280
Fax Number :
Provider Business Practice Location Address
First Line : 5128 OLD HIGHWAY 11 STE 8
Second Line :
City : HATTIESBURG
State : MS
Zip : 39402-6234
Country : US
Telephone Number : 601-450-0280
Fax Number :
Authorized Official
Title or Position : OFFICE MANAGER
Name : ALLISON C MCCOY
Credential :
Telephone Number : 985-687-4755
Provider Enumeration Date : 01/05/2014
Last Update Date : 01/05/2014

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Directions to “ADVANCED HEARING AND BALANCE LLC ” Practice Location

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