Organization
MID-SOUTH HEARING AID CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN CASTLEBERRY HIS (OWNER)
(229) 630-4800
Entity
Organization
Contact information
Practice address
2066 WATSON BLVD STE B, WARNER ROBINS, GA 31093-3634
(478) 599-9992
(478) 254-6426
Mailing address
3321 NORTHSIDE DR, MACON, GA 31210-2503
(478) 254-6244
(478) 254-6426
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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