Mantooth, Jerry

Mantooth, Jerry is an individual health care provider with primary practice located at 601 Fleming St Ste B , Dalton GA 30721-1004. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Hearing Instrument Specialist is his primary health care specialty. Mantooth, Jerry can be contacted via phone (706) 226-3257.

Contact Information

Primary practice address
601 Fleming St Ste B Dalton GA 30721-1004
Phone: (706) 226-3257
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X Georgia

Profile Details

NPI number 1609184571
LBN Legal business name Mantooth, Jerry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2010
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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