Katrina Husband

Individual provider Active NPI Hearing Instrument Specialist · Bogart, GA

NPI 1821333915 · NPPES record last updated Nov 30, 2012

Key facts

NPI
1821333915
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
HADS000754 (GA)
Practice address
3701 Atlanta Hwy
Ste 1
Bogart, GA 30622-2247
Phone
(706) 354-6770
Fax
(706) 354-6908
NPI assigned
Nov 30, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
HADS000754GAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Me Pivot Holdings, LLC Hearing Instrument Specialist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X HADS000754 GA Yes

Addresses

Primary practice location

3701 Atlanta Hwy
Ste 1
Bogart, GA 30622-2247

Mailing address

2090 Dunwoody Club Dr
Ste 106-246
Atlanta, GA 30350-5434

Other providers in Bogart, GA

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

Sources for this page

Verify at the official NPI Registry.