Provider Demographics
NPI:1437143393
Name:GREY, ALTHEA L E (AUD, CCC/A, FAAA)
Entity Type:Individual
Prefix:DR
First Name:ALTHEA
Middle Name:L E
Last Name:GREY
Suffix:
Gender:F
Credentials:AUD, CCC/A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 S BROAD ST
Mailing Address - Street 2:
Mailing Address - City:THOMASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:31792-6107
Mailing Address - Country:US
Mailing Address - Phone:229-228-2400
Mailing Address - Fax:229-228-2492
Practice Address - Street 1:706 S BROAD ST
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:GA
Practice Address - Zip Code:31792-6107
Practice Address - Country:US
Practice Address - Phone:229-228-2400
Practice Address - Fax:229-228-2492
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3830237600000X
GAAUD003777237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter