NPI 1073055679
Activear, LLC
Practice location
- Address
- 200 S Houston Lake Rd, Warner Robins, GA 31088-9006
- Phone
- (478) 922-4327
- Fax
- (229) 245-1020
- Mailing address
- 2935 N Ashley St STE 101, Valdosta, GA 31602-1786
Authorised official
- Name
- Lorissa Miller
- Title
- Owner
- Phone
- (229) 506-3451
Registered specialties
Hearing Aid Equipment
Primary
Registry record
- NPI
- 1073055679
- Entity type
- Organization
- NPI issued
- 14 Nov 2016
- Record last updated
- 6 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.