Organization
PROGRESSIVE AUDIOLOGY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN HENRIQUES PHD (PRESIDENT)
(770) 592-4744
Entity
Organization
Contact information
Practice address
2230 TOWNE LAKE PKWY, BUILDING 800 SUITE 120, WOODSTOCK, GA 30189-5540
(770) 592-4744
Mailing address
2230 TOWNE LAKE PARKWAY, BLDG 800, SUITE 100, WOODSTOCK, GA 30189
(770) 592-4744
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AUD001690
GA
237600000X
Audiologist-Hearing Aid Fitter
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Other
Enumeration date
08/23/2006
Last updated
06/27/2013
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