NPI 1144647090 · live from the CMS NPI Registry
Waits Hearing Center, LLC
Audiologist in Fayetteville, GA. National Provider Identifier 1144647090, active.
NPI record
| NPI | 1144647090 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 101 Yorktown Dr Ste 201, Fayetteville, GA 30214 |
| Practice phone | 770-461-0043 |
| Mailing address | Po Box 7181, Wilmington, DE 19803 |
| Enumerated | March 27, 2014 |
| Last updated | April 10, 2014 |
| Authorized official | Vincent Russomagno, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | AUD001514 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.