Individual
JOSEPH STOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
4915 LAVISTA RD STE A, TUCKER, GA 30084-8520
(470) 223-3269
(470) 223-3269
Mailing address
4915 LAVISTA RD STE A, TUCKER, GA 30084-8520
(470) 223-3269
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS000114
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HADS000114
HEARING AID DISPENSER
GA
Enumeration date
10/24/2018
Last updated
10/24/2018
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