Individual
TRISHA L DIBKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
714 MALL BLVD STE 1A, SAVANNAH, GA 31406-4880
(912) 513-5794
(912) 438-4944
Mailing address
714 MALL BLVD STE 1A, SAVANNAH, GA 31406-4880
(912) 513-5794
(912) 644-0756
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003814
GA
237600000X
Audiologist-Hearing Aid Fitter
AUD003814
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021643741
MEDICARE
GA
05
—
903101729G
—
GA
Enumeration date
06/12/2006
Last updated
08/07/2024
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