Organization
SUGARLOAF HEARING AID FACTORY OUTLET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GWEN CANTRELL H.I.S (HEARING INSTRUMENT SPECIALIST)
(404) 786-6416
Entity
Organization
Contact information
Practice address
5900 SUGARLOAF PKWY STE 423, (SUGARLOAF MILLS OUTLET MALL), LAWRENCEVILLE, GA 30043-7848
(404) 786-6416
Mailing address
5900 SUGARLOAF PKWY STE 423, (SUGARLOAF MILLS OUTLET MALL), LAWRENCEVILLE, GA 30043-7848
(404) 786-6416
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
HADS000898
GA
Other
Enumeration date
08/24/2015
Last updated
08/24/2015
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