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Individual

DR. SHEA R STROMBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.- CCC-A/FAAA

Contact information

Practice address
80A INTERSTATE SOUTH DR, JASPER, GA 30143-6226
(770) 345-6600
(770) 345-6611
Mailing address
215 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-6600
(770) 345-6611

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
51454
TX
231H00000X
Audiologist
Primary
AUD003631
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003311330C
GA
05
003311330D
GA
05
Q095575
TN
Enumeration date
10/05/2023
Last updated
05/24/2026
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