Individual
MR. PHILLIP JOSEPH ALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSCCCA
Contact information
Practice address
2910 N PATTERSON ST, VALDOSTA, GA 31602-1720
(229) 244-2562
(229) 249-0000
Mailing address
2910 N PATTERSON ST, VALDOSTA, GA 31602-1720
(229) 244-2562
(229) 249-0000
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AUD001123
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00349445B
—
GA
Enumeration date
03/26/2007
Last updated
07/08/2007
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