Organization
AUDIOLOGY AT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINNE M BOODOO M.S. (CEO)
(770) 493-8430
Entity
Organization
Contact information
Practice address
2789 CLAIRMONT RD NE, ATLANTA, GA 30329-2700
(770) 493-8430
(770) 493-8433
Mailing address
3939 LAVISTA RD STE E, #390, TUCKER, GA 30084-5162
(770) 493-8430
(770) 493-8433
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
Other
Enumeration date
06/26/2008
Last updated
09/24/2014
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