Provider Demographics
NPI:1265703003
Name:HEARING AID SERVICES OF ATLANTA, LLC
Entity type:Organization
Organization Name:HEARING AID SERVICES OF ATLANTA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING INSTRUMENT SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:J
Authorized Official - Last Name:STOCK
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:770-461-7002
Mailing Address - Street 1:1240 HIGHWAY 54 W
Mailing Address - Street 2:SUITE 604
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-4557
Mailing Address - Country:US
Mailing Address - Phone:770-461-7002
Mailing Address - Fax:770-461-7070
Practice Address - Street 1:1240 HIGHWAY 54 W
Practice Address - Street 2:STE. 604
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-4557
Practice Address - Country:US
Practice Address - Phone:770-461-7002
Practice Address - Fax:770-461-7070
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARING AID SERVICES OF ATLANTA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty