Individual
KERRY BODNAR EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
2424 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2741
(706) 324-6112
(706) 596-8259
Mailing address
2424 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2741
(706) 324-6112
(706) 596-8259
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003929
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003135237A
—
GA
05
—
149113
—
AL
Enumeration date
05/30/2013
Last updated
08/10/2015
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