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Organization

MIDDLE TENNESSEE AUDIOLOGY, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NOREEN DALY GIBBENS AUD (OWNER)
(615) 447-5660
Entity
Organization

Contact information

Practice address
166B E MAIN ST, HENDERSONVILLE, TN 37075-2520
(615) 447-5660
(615) 447-5661
Mailing address
166B E MAIN ST, HENDERSONVILLE, TN 37075-2520
(615) 447-5660
(615) 447-5661

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A0000001570
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A0000001570
STATE LICENSE
TN
Enumeration date
06/08/2016
Last updated
06/08/2016
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