Organization
RESURGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAJU PRATAP CCC-SLP/A (C.E.O)
(901) 219-8505
Entity
Organization
Contact information
Practice address
10076 SUTTON RIDGE LN, CORDOVA, TN 38016-0685
(901) 756-8871
(901) 202-0336
Mailing address
10076 SUTTON RIDGE LN, CORDOVA, TN 38016-0685
(901) 756-8871
(901) 202-0336
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1506
TN
231HA2400X
Assistive Technology Practitioner Audiologist
1506
TN
235Z00000X
Speech-Language Pathologist
1807
TN
237600000X
Audiologist-Hearing Aid Fitter
1506
TN
Other
Enumeration date
01/23/2009
Last updated
01/23/2009
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