Organization
BRAD MCMILLIN INC
Active
Other names
BELTONE HEARING AID SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY L MCCUBBINS (ACCOUNTS RECEIVABLE MANAGER)
(618) 242-4920
Entity
Organization
Contact information
Practice address
1716 GALLATIN PIKE N, MADISON, TN 37115-2122
(615) 868-9877
Mailing address
1415 W HIGHWAY 50, O FALLON, IL 62269-1618
(618) 624-4471
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
TN 674
TN
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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