Individual
DR. LEAH NICOLE BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
5356 REYNOLDS ST STE 505, SAVANNAH, GA 31405-6017
(912) 356-1515
Mailing address
803 E 68TH ST, SAVANNAH, GA 31405-4709
(912) 351-3038
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AUD004324
STATE LICENSE
GA
Enumeration date
05/12/2022
Last updated
08/30/2022
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