Individual
DR. ALBERT R DE CHICCHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., CCC-A
Contact information
Practice address
110 CARLTON ST, ADERHOLD HALL 516, ATHENS, GA 30602-5004
(706) 542-4582
Mailing address
155 HIGH RIDGE PLACE, ATHENS, GA 30606
(706) 369-1041
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD 000779
GA
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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