Provider Demographics
NPI:1598180325
Name:TWORAE'S HEARING, LLC
Entity Type:Organization
Organization Name:TWORAE'S HEARING, LLC
Other - Org Name:ZOUNDS HEARING OF ROSWELL
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:CONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-352-1940
Mailing Address - Street 1:580 E CROSSVILLE RD
Mailing Address - Street 2:STE 340
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-3361
Mailing Address - Country:US
Mailing Address - Phone:678-352-1940
Mailing Address - Fax:
Practice Address - Street 1:580 E CROSSVILLE RD
Practice Address - Street 2:STE 340
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-3361
Practice Address - Country:US
Practice Address - Phone:678-352-1940
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment