Individual
JERRY MANTOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 FLEMING ST STE B, DALTON, GA 30721-1004
(706) 226-3257
Mailing address
8800 SE SUNNYSIDE RD STE 300N, CLACKAMAS, OR 97015-5703
(281) 286-2999
(512) 607-4893
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
Primary
—
GA
237700000X
Hearing Instrument Specialist
—
—
Other
Enumeration date
09/14/2010
Last updated
03/17/2018
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