Organization Name: | PROFESSIONAL HEARING CLINIC PC |
NPI Number: | 1316990534 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM WARREN PERRINE (PRESIDENT) |
Mailing Address: | 106 Proctor St Statesboro |
State: | GA US |
Postal Code: | 304581351 |
Phone Number: | 9124896422 |
Fax Number: | 9124895866 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 12/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | GA003170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |