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MR. PHILLIP JOSEPH ALT MSCCCA
>> Audiologist-Hearing Aid Fitter >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1134247513
Individual Registrant:MR. PHILLIP JOSEPH ALT MSCCCA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
2910 N PATTERSON ST VALDOSTA, GA 31602-1720 US
Tel: 229-244-2562 Fax: 229-249-0000
Tel: 229-244-2562 Fax: 229-249-0000
Contact information for business:
2910 N PATTERSON ST VALDOSTA, GA 31602-1720 US
Tel: 229-244-2562 Fax: 229-249-0000
Tel: 229-244-2562 Fax: 229-249-0000
Registration Information:
NPI: 1134247513
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 237600000X | Speech, Language and Hearing Service Providers Audiologist-Hearing Aid Fitter | GA | AUD001123 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 00349445B | GA | 05 |
