MS. Sue Ellen Basore, MS

NPI #1164440988 in Decatur, Georgia

Provider Information

NPI Number: 1164440988
Entity Type: Individual
Name: MS. Sue Ellen Basore, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Credential: MS
Enumeration Date: Jul 18, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1670 CLAIRMONT RD
City: Decatur
State: Georgia
ZIP Code: 30033-4004
Phone: (404) 329-4656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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