CENTRAL GEORGIA PROFESSIONAL HEARING SERVICES LLC NPI 1023542511

NPI Information

NPI: 1023542511
Provider Name: CENTRAL GEORGIA PROFESSIONAL HEARING SERVICES, LLC
Classification: Audiologist - 231HA2400X
Entity Type: Organization

Specialization: Assistive Technology Practitioner

Address:
1719 RUSSELL PKWY
BLDG 300
WARNER ROBINS, GA
ZIP 31088
Phone: (478) 923-0106
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CENTRAL GEORGIA PROFESSIONAL HEARING SERVICES, LLC is an assistive technology practitioner audiologist in Warner Robins, GA. CENTRAL GEORGIA PROFESSIONAL HEARING SERVICES, LLC NPI is 1023542511. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1719 RUSSELL PKWY
BLDG 300
WARNER ROBINS, GA
ZIP 31088-763
Phone: (478) 923-0106
Fax: (478) 922-5211

The provider's authorized official is Melinda Shea White .
The authorized official title is Audiologist/ceo and has the following contact phone number (478) 922-9222.

The enumeration date for this NPI number is 4/12/2017 and was last updated on 4/12/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	231HA2400X	Audiologist	Assistive Technology Practitioner	AUD003181	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	64PCBGF	MEDICARE UPIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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