1457775983 NPI number — DOCTOR'S HEARING CENTER, INC.

Table of content: (NPI 1457775983)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457775983 NPI number — DOCTOR'S HEARING CENTER, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOCTOR'S HEARING CENTER, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1457775983
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/04/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11180 STATE BRIDGE RD
Provider Second Line Business Mailing Address:
SUITE 207
Provider Business Mailing Address City Name:
JOHNS CREEK
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30022-7482
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
770-676-7208
Provider Business Mailing Address Fax Number:
770-676-7283

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11180 STATE BRIDGE RD
Provider Second Line Business Practice Location Address:
SUITE 207
Provider Business Practice Location Address City Name:
JOHNS CREEK
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30022-7482
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
770-676-7208
Provider Business Practice Location Address Fax Number:
770-676-7283
Provider Enumeration Date:
02/04/2014

Additional Information

Authorized Official

Authorized Official Last Name:
ANDREWS
Authorized Official First Name:
EVELYN
Authorized Official Middle Name:
M
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
770-676-7208

Provider Taxonomy Codes

  • Taxonomy code: 231H00000X , with the licence number:  AUD000683 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1336155886 . This is a "NPI" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com