Provider Demographics
NPI:1689840589
Name:ADVANCED HEARING SOLUTIONS OF GA AND FL, LLC
Entity Type:Organization
Organization Name:ADVANCED HEARING SOLUTIONS OF GA AND FL, LLC
Other - Org Name:ADVANCED HEARING CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:D
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:229-253-0105
Mailing Address - Street 1:111 WOODROW WILSON DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-2587
Mailing Address - Country:US
Mailing Address - Phone:229-253-0105
Mailing Address - Fax:229-253-8829
Practice Address - Street 1:111 WOODROW WILSON DR
Practice Address - Street 2:SUITE A
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-2587
Practice Address - Country:US
Practice Address - Phone:229-253-0105
Practice Address - Fax:229-253-8829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-01
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAHADE034784237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty