Jim Whitley, BC-HIS
Hearing Instrument Specialist in Lagrange, GA. Individual provider (NPI-1).
NPI number1063990331
StatusActive
Last updated in NPPESJul 30, 2018
Details
- NPI
- 1063990331
- Entity type
- Individual (NPI-1)
- Name
- Jim Whitley
- Credential
- BC-HIS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2018
- Last updated
- Jul 30, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 237700000X | Hearing Instrument Specialist | 723 | GA | Yes |
Practice location
310 W Broome StLagrange, GA 30240-3185
Phone 706-882-5597 · Fax 706-882-1362
Mailing address
137 Lee Road 2002Phenix City, AL 36870-8605
Phone 706-882-5597 · Fax 706-882-1363
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