Provider Demographics
NPI:1750436226
Name:ATLANTA HEARING AID SERVICES
Entity type:Organization
Organization Name:ATLANTA HEARING AID SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:E
Authorized Official - Last Name:SEAGO
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:404-373-2411
Mailing Address - Street 1:2655 N DECATUR RD STE D
Mailing Address - Street 2:SUBURBAN PLAZA
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30033-6100
Mailing Address - Country:US
Mailing Address - Phone:404-373-2411
Mailing Address - Fax:404-370-0451
Practice Address - Street 1:2655 N DECATUR RD STE D
Practice Address - Street 2:SUBURBAN PLAZA
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30033-6100
Practice Address - Country:US
Practice Address - Phone:404-373-2411
Practice Address - Fax:404-370-0451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA220237700000X
GA153237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty