Provider Demographics
NPI:1578334207
Name:REAL HEARING USA LLC
Entity Type:Organization
Organization Name:REAL HEARING USA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BEASLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-364-2378
Mailing Address - Street 1:11767 S DIXIE HWY STE 122
Mailing Address - Street 2:
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-4438
Mailing Address - Country:US
Mailing Address - Phone:706-364-2378
Mailing Address - Fax:
Practice Address - Street 1:1215 GEORGE C. WILSON DR.
Practice Address - Street 2:STE 3A
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909
Practice Address - Country:US
Practice Address - Phone:706-364-2378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty