NPI 1043104797

Avery Christian Lee Black, HIS

Practitioner Hearing Instrument Specialist Fort Oglethorpe, GA

Practice location

Address: 89 Crye Leike Dr, Fort Oglethorpe, GA 30742-4055
Phone: (706) 858-8832

Registered specialties

Hearing Instrument Specialist Primary

Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence HADS001156 (GA)

Other Hearing Instrument Specialist providers in Georgia →

Registry record

NPI: 1043104797
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2025
Record last updated: 6 Jun 2025

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.