Wyatt Haney

Individual provider Active NPI Hearing Instrument Specialist · Quitman, GA

NPI 1013260413 · NPPES record last updated Oct 23, 2012

Key facts

NPI
1013260413
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
HADS000783 (GA)
Practice address
801 N Court St
Quitman, GA 31643-1313
Phone
(229) 305-7350
NPI assigned
Oct 23, 2012
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
HADS000783GAMDHearing Instrument Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HADS000783 GA Yes

Addresses

Primary practice location

801 N Court St
Quitman, GA 31643-1313

Mailing address

801 N Court St
Quitman, GA 31643-1313
Phone (229) 305-7350

Other providers in Quitman, GA

All providers in Quitman, GA · Hearing Instrument Specialist in Georgia

Sources for this page

Verify at the official NPI Registry.