Provider Demographics
NPI:1265762611
Name:CENTRE FOR SOUND HEARING AIDS
Entity type:Organization
Organization Name:CENTRE FOR SOUND HEARING AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:RANDY
Authorized Official - Last Name:SWINT
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:770-509-0207
Mailing Address - Street 1:2635 SANDY PLAINS RD
Mailing Address - Street 2:A2
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066-4200
Mailing Address - Country:US
Mailing Address - Phone:770-509-0207
Mailing Address - Fax:
Practice Address - Street 1:2635 SANDY PLAINS RD
Practice Address - Street 2:A2
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066-4200
Practice Address - Country:US
Practice Address - Phone:770-509-0207
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-07
Last Update Date:2010-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAHADE000403237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty