Provider Demographics
NPI:1114209970
Name:ATHENS OCONEE AUDIOLOGY LLC
Entity Type:Organization
Organization Name:ATHENS OCONEE AUDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ AUDIOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:BARNES
Authorized Official - Last Name:HARDIN
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:706-310-7115
Mailing Address - Street 1:1610 MARS HILL RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:WATKINSVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30677-4891
Mailing Address - Country:US
Mailing Address - Phone:706-310-7115
Mailing Address - Fax:706-310-7116
Practice Address - Street 1:1610 MARS HILL RD
Practice Address - Street 2:SUITE A
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-4891
Practice Address - Country:US
Practice Address - Phone:706-310-7115
Practice Address - Fax:706-310-7116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-16
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA640261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech