Individual
ANDREA JAE SUDDERTH
Active
Individual
ANDREA JAE SUDDERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAD
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADS001065
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HADS001065
HEARING AID DISPENSER
GA
Enumeration date
12/09/2021
Last updated
11/15/2023
Update your record
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