Organization
ROBERT H. BAKER
Active
Other names
Decatur Hearing Aid Service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY H FARGASON (DISPENSER)
(404) 299-1141
Entity
Organization
Contact information
Practice address
917 N INDIAN CREEK DR, CLARKSTON, GA 30021-2245
(404) 299-1141
(404) 299-8195
Mailing address
917 N INDIAN CREEK DR, P.O. BOX 91, CLARKSTON, GA 30021-2245
(404) 299-1141
(404) 299-8195
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HADE000064
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000041104A
—
GA
Enumeration date
03/14/2006
Last updated
06/13/2008
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