Provider Demographics
NPI:1346875390
Name:APEX PROFESSIONAL AUDIOLOGY, LLC
Entity Type:Organization
Organization Name:APEX PROFESSIONAL AUDIOLOGY, LLC
Other - Org Name:AUDIOLOGY HEARS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHONDA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:770-781-2376
Mailing Address - Street 1:6130 SOUTHARD TRCE
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-6475
Mailing Address - Country:US
Mailing Address - Phone:770-781-2376
Mailing Address - Fax:
Practice Address - Street 1:6130 SOUTHARD TRCE
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-6475
Practice Address - Country:US
Practice Address - Phone:770-781-2376
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-10
Last Update Date:2020-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty