Provider Demographics
NPI:1427276427
Name:CALL, GEORGIA (HIS)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:
Last Name:CALL
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 N COUNTRY CLUB RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1603
Mailing Address - Country:US
Mailing Address - Phone:520-327-0882
Mailing Address - Fax:520-327-6205
Practice Address - Street 1:5950 E BROADWAY BLVD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-3904
Practice Address - Country:US
Practice Address - Phone:520-747-6005
Practice Address - Fax:520-790-9536
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1550237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist