Organization
HEARING CENTER OF MOULTRIE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRITTANY REDFEARN (OFFICE MANAGER)
(229) 985-3277
Entity
Organization
Contact information
Practice address
27 8TH AVE SE, MOULTRIE, GA 31768-5500
(229) 985-3277
(229) 985-3280
Mailing address
27 8TH AVE SE, MOULTRIE, GA 31768-5500
(229) 985-3277
(229) 985-3280
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003826
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003165812A
—
GA
Enumeration date
10/28/2015
Last updated
10/28/2015
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