Provider Demographics
NPI:1609534858
Name:CUMMING HEARING AID
Entity Type:Organization
Organization Name:CUMMING HEARING AID
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:A/R REP
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:EBNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-297-0289
Mailing Address - Street 1:4150 DEPUTY BILL CANTRELL MEM ROAD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-3004
Mailing Address - Country:US
Mailing Address - Phone:470-297-0289
Mailing Address - Fax:770-292-3046
Practice Address - Street 1:4150 DEPUTY BILL CANTRELL MEM ROAD
Practice Address - Street 2:SUITE 260
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-3004
Practice Address - Country:US
Practice Address - Phone:470-297-0289
Practice Address - Fax:770-292-3046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty