Organization Name: | EM HEARING AND SCREENING |
NPI Number: | 1346411170 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | EARNEST FABRE (PRESIDENT) |
Mailing Address: | 2777 Jefferson St Ste 4 Austell |
State: | GA US |
Postal Code: | 301684054 |
Phone Number: | 4043965560 |
Fax Number: | 6785672906 |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 03/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | AUD003646 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |