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Individual

DR. ANDREW DAVID WAITS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
174A BANKS XING, FAYETTEVILLE, GA 30214-7308
(770) 461-0043
(770) 460-7897
Mailing address
681 S 9TH ST, GRIFFIN, GA 30224-4215
(770) 228-5745
(770) 228-5317

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AUD001514
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
581802895
TAX ID#
GA
01
AUD001514
STATE LICENSE NO.
GA
Enumeration date
05/17/2007
Last updated
11/19/2021
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