Provider Demographics
NPI:1821228974
Name:READY AND FORWARD ENT LLC
Entity Type:Organization
Organization Name:READY AND FORWARD ENT LLC
Other - Org Name:MIRACLE EAR ATLANTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WOSSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEZABIH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-484-4850
Mailing Address - Street 1:2090 DUNWOODY CLUB DR
Mailing Address - Street 2:STE. 106-246
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30350-5434
Mailing Address - Country:US
Mailing Address - Phone:770-484-4850
Mailing Address - Fax:770-484-4399
Practice Address - Street 1:3701 ATLANTA HWY STE 1
Practice Address - Street 2:
Practice Address - City:BOGART
Practice Address - State:GA
Practice Address - Zip Code:30622-2218
Practice Address - Country:US
Practice Address - Phone:770-484-4850
Practice Address - Fax:770-484-4399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty