Basic Information
| Provider Information | |||||||||
| NPI: | 1003152950 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CASH | ||||||||
| FirstName: | JOSEPH | ||||||||
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| Credential: | BC-HIS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11900 US HIGHWAY 280 | ||||||||
| Address2: | |||||||||
| City: | ELLABELL | ||||||||
| State: | GA | ||||||||
| PostalCode: | 313083603 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3450 WRIGHTSBORO RD STE B | ||||||||
| Address2: | |||||||||
| City: | AUGUSTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 309092516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7067319943 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/21/2012 | ||||||||
| LastUpdateDate: | 12/21/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | HADS000664 | GA | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist | 237700000X | HAS-0402 | SC | N | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.