# CENTRAL GEORGIA PROFESSIONAL HEARING SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023542511
- **Authorized official:** DR. MELINDA SHEA WHITE AUD (AUDIOLOGIST/CEO)
- **Authorized official phone:** (478) 922-9222

## Contact information

- **Practice address:** 1719 RUSSELL PKWY, BLDG 300, WARNER ROBINS, GA 31088-5763
- **Practice address phone:** (478) 923-0106
- **Practice address fax:** (478) 922-5211
- **Mailing address:** 1719 RUSSELL PKWY, BLDG 300, WARNER ROBINS, GA 31088-5763
- **Mailing address phone:** (478) 923-0106
- **Mailing address fax:** (478) 922-5211

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231HA2400X | Assistive Technology Practitioner Audiologist | AUD003181 | GA | Yes |

## Other

- **Enumeration date:** 04/12/2017
- **Last updated:** 04/12/2017