Organization
SOUTHERN HEARING AID, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAYDON B. CUMMINS JR. LHIS (HEARING INSTRUMENT SPECIALIST)
(606) 678-4010
Entity
Organization
Contact information
Practice address
370 S HIGHWAY 27 STE 5, TRADEWIND SHOPPING CENTER, SOMERSET, KY 42501-2774
(606) 678-4010
Mailing address
370 S HIGHWAY 27 STE 5, TRADEWIND SHOPPING CENTER, SOMERSET, KY 42501-2774
(606) 678-4010
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000070472
ANTHEM BCBS MEMBER #
KY
Enumeration date
04/04/2007
Last updated
05/29/2008
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