Organization
WAITS HEARING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT RUSSOMAGNO (OWNER)
(888) 720-7980
Entity
Organization
Contact information
Practice address
101 YORKTOWN DR STE 201, FAYETTEVILLE, GA 30214-1501
(770) 461-0043
Mailing address
PO BOX 7181, WILMINGTON, DE 19803-0181
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD001514
GA
Other
Enumeration date
03/27/2014
Last updated
04/10/2014
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