Organization
AMPLIFIED ABILITIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W SMITH (MANAGER)
(423) 667-1235
Entity
Organization
Contact information
Practice address
4107 MAYFAIR AVE, CHATTANOOGA, TN 37411-5227
(423) 708-2014
Mailing address
1116 S CREST RD, ROSSVILLE, GA 30741-1508
(423) 667-1235
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q059700
—
TN
Enumeration date
04/26/2020
Last updated
09/25/2023
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