Provider Demographics
NPI:1588392047
Name:NEWTOWN HEARING CENTER, LLC
Entity type:Organization
Organization Name:NEWTOWN HEARING CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ELISA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOBBITT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:470-294-2116
Mailing Address - Street 1:3005 OLD ALABAMA RD STE 400
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-1903
Mailing Address - Country:US
Mailing Address - Phone:404-309-0707
Mailing Address - Fax:
Practice Address - Street 1:3005 OLD ALABAMA RD STE 400
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30022-1903
Practice Address - Country:US
Practice Address - Phone:404-309-0707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-12
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech