Organization
MID-SOUTH HEARING, LLC
Active
Other names
Miracle-Ear Hearing Aid Center
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY RICHARD HARDY H.I.S. (OWNER/MANAGER)
(731) 668-3165
Entity
Organization
Contact information
Practice address
2021 GREYSTONE SQ, JACKSON, TN 38305-3576
(731) 668-3165
(731) 668-9860
Mailing address
888 COUNTY ROAD 115, NEW ALBANY, MS 38652-9518
(731) 668-3165
(731) 668-9860
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
658
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1B4080841
BLUE CROSS BLUE SHIELD
TN
Enumeration date
08/23/2007
Last updated
05/02/2014
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