Provider Demographics
NPI:1861275117
Name:DOS, ERIC (HEARING CARE PRAC)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:DOS
Suffix:
Gender:M
Credentials:HEARING CARE PRAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3328 WASHINGTON RD STE D
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30907-3871
Mailing Address - Country:US
Mailing Address - Phone:706-868-8862
Mailing Address - Fax:
Practice Address - Street 1:3328 WASHINGTON RD STE D
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30907-3871
Practice Address - Country:US
Practice Address - Phone:706-868-8862
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist