Provider Demographics
NPI:1871880120
Name:HEARING CONNECTION LLC
Entity type:Organization
Organization Name:HEARING CONNECTION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WYATT
Authorized Official - Middle Name:
Authorized Official - Last Name:HANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:229-247-4810
Mailing Address - Street 1:1733 GORNTO RD STE 102-E
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31601-8469
Mailing Address - Country:US
Mailing Address - Phone:229-247-4810
Mailing Address - Fax:229-247-5131
Practice Address - Street 1:1733 GORNTO RD STE 102-E
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31601-8469
Practice Address - Country:US
Practice Address - Phone:229-247-4810
Practice Address - Fax:229-247-5131
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-07
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment