Provider Demographics
NPI:1902235823
Name:MRAZ AUDIOLOGY CONSULTING, INC
Entity Type:Organization
Organization Name:MRAZ AUDIOLOGY CONSULTING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MRAZ
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:770-653-7027
Mailing Address - Street 1:3400 OLD MILTON PKWY
Mailing Address - Street 2:BLDG C, SUITE 385
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30005-4438
Mailing Address - Country:US
Mailing Address - Phone:770-653-7027
Mailing Address - Fax:678-824-8218
Practice Address - Street 1:3400C OLD MILTON PKWY STE 385
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005
Practice Address - Country:US
Practice Address - Phone:770-653-7027
Practice Address - Fax:678-824-8218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-01
Last Update Date:2018-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD3473332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment