Individual
JOHNNY COSENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HADS001062
Contact information
Practice address
3839 MUNDY MILL RD, OAKWOOD, GA 30566-3415
(678) 971-6227
Mailing address
3839 MUNDY MILL RD, OAKWOOD, GA 30566-3415
(678) 971-6227
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
HADS001062
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HADS001062
WE ACCEPT NO INSURANCE
GA
Enumeration date
06/01/2022
Last updated
06/01/2022
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