| NPI Details | |
|---|---|
| NPI | 1154760908 |
| Enumeration Date | 06/14/2013 |
| Last Updated | 06/14/2013 |
| Entity Type | Healthcare Provider |
| Active | Over 4 years ago |
| Authorized Information | |
|---|---|
| Name | SAMUEL FREDERICK SAMUEL |
| Position | PRESIDENT |
| Phone | (770) 972-4327 |
| Fax | (770) 972-4101 |
| Practice Location | |
|---|---|
| 2176 OAK RD SUITE C SNELLVILLE GA, 30078-2374, US |
|
| Phone | (770) 972-4327 |
| Fax | (770) 972-4101 |
| Business Location | |
|---|---|
| 2176 OAK RD SUITE C SNELLVILLE GA, 30078-2374, US |
|
| Phone | (770) 972-4327 |
| Fax | (770) 972-4101 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 231H00000X |
| License State | Georgia |
| License Number | AUD003479 |
| Remove 1154760908 NPI Number | |
According to our database, Audiology Center Of Snellville Llc NPI is 1154760908, taxonomy code is 231H00000X and license number is AUD003479, license state is located at Georgia. Audiology Center Of Snellville Llc physically located at 2176 Oak Rd, Snellville GA, 30078-2374. NPI Number 1033115704 has the healthcare provider type.
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1154760908 NPI number is provided on an as is basis without warranty of any kind. 1154760908 is maintained by the National Plan & Provider Enumeration System. The contents of Audiology Center Of Snellville Llc are for informational purposes only.
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