Individual
WYATT HANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 N COURT ST, QUITMAN, GA 31643-1313
(229) 305-7350
Mailing address
801 N COURT ST, QUITMAN, GA 31643-1313
(229) 305-7350
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS000783
GA
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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