Organization
HEARING AID FACTORY OUTLET LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN CANTRELL (OWNER)
(404) 454-5460
Entity
Organization
Contact information
Practice address
5900 SUGARLOAF PKWY STE 423, LAWRENCEVILLE, GA 30043-7848
(404) 454-5460
Mailing address
5900 SUGARLOAF PKWY STE 423, LAWRENCEVILLE, GA 30043-7848
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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