Provider Demographics
NPI:1508037227
Name:AUDIOLOGY HEARS PC
Entity Type:Organization
Organization Name:AUDIOLOGY HEARS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERESE
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:HUBER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:770-781-2376
Mailing Address - Street 1:4036 GROVE HILL CT
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-1922
Mailing Address - Country:US
Mailing Address - Phone:770-781-2376
Mailing Address - Fax:770-781-2377
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:770-781-2377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-20
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD003591231H00000X, 231HA2400X, 231HA2500X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAS88337Medicare UPIN
GA64BCBPWMedicare PIN