Provider Demographics
NPI:1760273593
Name:MYLES, JAIDA ANECIA (AUD)
Entity type:Individual
Prefix:
First Name:JAIDA
Middle Name:ANECIA
Last Name:MYLES
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JAIDA
Other - Middle Name:ANECIA
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:4800 OLDE TOWNE PKWY STE 360
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30068-4396
Mailing Address - Country:US
Mailing Address - Phone:770-971-1533
Mailing Address - Fax:
Practice Address - Street 1:4800 OLDE TOWNE PKWY STE 360
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30068-4396
Practice Address - Country:US
Practice Address - Phone:770-971-1533
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-13
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD004455231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist