| |
355 Clear Creek Pkwy, Suite 201, Lavonia, GA 30553-4173 | |
(706) 356-0377 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist |
Location | 355 Clear Creek Pkwy, Lavonia, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134481112 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AUD001447 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
355 Clear Creek Pkwy, Suite 201, Lavonia, GA 30553-4173 Ph: (706) 356-0377 | 355 Clear Creek Pkwy, Suite 201, Lavonia, GA 30553-4173 Ph: (706) 356-0377 |