Organization
GEORGIA HEARING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VANESSA MARIE CANTRELL HIS, HHCP,SMHP, (OWNER)
(678) 541-5605
Entity
Organization
Contact information
Practice address
3200 WOODWARD CROSSING BLVD STE B107, BUFORD, GA 30519-5707
(678) 541-5605
(678) 541-5605
Mailing address
3200 WOODWARD CROSSING BLVD STE B107, BUFORD, GA 30519-5707
(678) 541-5605
(678) 541-5605
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2023
Last updated
05/14/2026
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