Provider Demographics
NPI:1952526618
Name:ADVANCED AUDIOLOGY & HEARING CARE
Entity Type:Organization
Organization Name:ADVANCED AUDIOLOGY & HEARING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:A
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:706-453-2119
Mailing Address - Street 1:117 HARMONY XING STE 8
Mailing Address - Street 2:
Mailing Address - City:EATONTON
Mailing Address - State:GA
Mailing Address - Zip Code:31024-9549
Mailing Address - Country:US
Mailing Address - Phone:706-453-2119
Mailing Address - Fax:706-467-9068
Practice Address - Street 1:117 HARMONY XING STE 8
Practice Address - Street 2:
Practice Address - City:EATONTON
Practice Address - State:GA
Practice Address - Zip Code:31024-9549
Practice Address - Country:US
Practice Address - Phone:706-453-2119
Practice Address - Fax:706-467-9068
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511G701036OtherPTAN