Individual
DR. HAIDEN ALIZABETH NUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1360 CADUCEUS WAY STE 101, WATKINSVILLE, GA 30677-7300
(706) 310-7115
Mailing address
1360 CADUCEUS WAY, BUILDING 200, SUITE 101, WATKINSVILLE, GA 30677-7300
(706) 310-7115
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD004186
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AUD004186
LICENSING BOARD
GA
01
—
Q19431A
MEDICARE PTAN
—
Enumeration date
06/12/2019
Last updated
10/18/2022
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