Organization
COVINGTON HEARING ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE SUSANN SHRIVER CCC-A, FAAA (CLINICAL AUDIOLOGIST)
(470) 441-6333
Entity
Organization
Contact information
Practice address
4165 HOSPITAL DR NE, COVINGTON, GA 30014-2565
(470) 441-6333
(470) 389-6265
Mailing address
4165 HOSPITAL DR NE, COVINGTON, GA 30014-2565
(470) 441-6333
(470) 389-6265
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000790072C
—
GA
Enumeration date
08/15/2017
Last updated
07/21/2022
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