Basic Information
| Provider Information | |||||||||
| NPI: | 1568728111 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | AURILINK, LLC | ||||||||
| LastName: | |||||||||
| FirstName: | |||||||||
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| OtherOrganizationName: | HEAR-RITE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 627 CHEROKEE ST NE | ||||||||
| Address2: | SUITE 9 | ||||||||
| City: | MARIETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300608964 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7705908662 | ||||||||
| FaxNumber: | 7704242099 | ||||||||
| Practice Location | |||||||||
| Address1: | 627 CHEROKEE ST NE | ||||||||
| Address2: | SUITE 9 | ||||||||
| City: | MARIETTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 300608964 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7705908662 | ||||||||
| FaxNumber: | 7704242099 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/09/2012 | ||||||||
| LastUpdateDate: | 04/09/2012 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | WHITCOMB | ||||||||
| AuthorizedOfficialFirstName: | OTIS | ||||||||
| AuthorizedOfficialMiddleName: | A. | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 7705908662 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | MR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | MASTER OF ARTS | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BC3200X | HADE000439 | GA | Y | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment |
No ID Information.