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MR. PHILLIP JOSEPH ALT MSCCCA

>> Audiologist-Hearing Aid Fitter >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1134247513

Individual Registrant:
MR. PHILLIP JOSEPH ALT MSCCCA
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

Contact information for business:
2910 N PATTERSON ST  VALDOSTA, GA 31602-1720 US
Tel: 229-244-2562  Fax: 229-249-0000

Registration Information:
NPI: 1134247513
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y237600000XSpeech, Language and Hearing Service Providers
Audiologist-Hearing Aid Fitter
GAAUD001123

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00349445BGA05




HEALTH CARE JOBS GA - Page 1



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