Peachtree Hearing Llc | |
4939 Lower Roswell Rd Ste 107a, Marietta, GA 30068-4382 | |
(470) 485-4327 | |
Not Available |
Full Name | Peachtree Hearing Llc |
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Type | Facility |
Speciality | Audiologist |
Location | 4939 Lower Roswell Rd Ste 107a, Marietta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164968152 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | AUD003887 (Georgia) | Primary |
Provider Name | Melissa Ellen Wikoff |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1487943734 PECOS PAC ID: 0749467991 Enrollment ID: I20140303000429 |
Mailing Address | Practice Location Address |
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Peachtree Hearing Llc 4939 Lower Roswell Rd Ste 107a, Marietta, GA 30068-4382 Ph: (470) 485-4327 | Peachtree Hearing Llc 4939 Lower Roswell Rd Ste 107a, Marietta, GA 30068-4382 Ph: (470) 485-4327 |
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