Organization
AUGUSTA HEARING AND BALANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR ROBIN BOHANNON (AUDIOLOGIST)
(706) 364-2378
Entity
Organization
Contact information
Practice address
1215 GEORGE C WILSON DR, SUITE 3A, AUGUSTA, GA 30909-5700
(706) 364-2378
Mailing address
1215 GEORGE C WILSON DR, SUITE 3A, AUGUSTA, GA 30909-5700
(706) 364-2378
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD0065
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GPA887
—
SC
Enumeration date
08/05/2006
Last updated
08/22/2020
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