IndividualActive
Avery Black, HIS
NPI 1043104797 · Hearing Instrument Specialist · Fort Oglethorpe, GA
Provider details
- NPI number
- 1043104797
- Entity type
- Individual
- Primary specialty
- Hearing Instrument SpecialistSpeech, Language and Hearing Service Providers
- Credential
- HIS
- Sex
- Male
- Sole proprietor
- No
- License
- HADS001156 (GA)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
89 Crye Leike Dr
Fort Oglethorpe, GA 30742-4055
Phone: (706) 858-8832
Approximate (ZIP-level) locationGet directions
Mailing address
89 Crye Leike Dr
Fort Oglethorpe, GA 30742-4055
Registry dates
- Enumerated
- 2025-06-06
- Last updated
- 2025-06-06
- Certified
- 2025-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.