Individual
ANDREA JAE SUDDERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAD
Contact information
Practice address
32 JOHNSON DR, BRASELTON, GA 30517-2774
(770) 853-9206
Mailing address
20 PAULA ST, COMMERCE, GA 30529-1626
(706) 870-3970
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
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