Provider Demographics
NPI:1437924156
Name:NEXT WAVE HEARING, LLC
Entity Type:Organization
Organization Name:NEXT WAVE HEARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MILLER
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:912-439-3241
Mailing Address - Street 1:4499 GA HIGHWAY 40 E STE C
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:GA
Mailing Address - Zip Code:31558-9402
Mailing Address - Country:US
Mailing Address - Phone:912-439-3241
Mailing Address - Fax:
Practice Address - Street 1:4499 GA HIGHWAY 40 E STE C
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:GA
Practice Address - Zip Code:31558-9402
Practice Address - Country:US
Practice Address - Phone:912-439-3241
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty