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Individual

KEITH A WHITCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HAD

Contact information

Practice address
103 SAMARITAN DR, UNIT C, CUMMING, GA 30040-2465
(770) 888-8017
Mailing address
1001 E. SUNSET ROAD, UNIT 96595, LAS VEGAS, NV 89193-1246
(702) 798-0113
(866) 291-5242

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS000851
GA

Other

Enumeration date
03/01/2011
Last updated
12/09/2015
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