Organization
COOSA VALLEY HEARING CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACEY D GRIMES M.S.,CCC-A (AUDIOLOGIST, PRESIDENT)
(256) 249-0943
Entity
Organization
Contact information
Practice address
208 W FORT WILLIAMS ST, SYLACAUGA, AL 35150-2432
(256) 249-0943
(256) 249-0941
Mailing address
208 W FORT WILLIAMS ST, SYLACAUGA, AL 35150-2432
(256) 249-0943
(256) 249-0941
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
892A
AL
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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