| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KETEVAN MDZINARISHVILI-FIGHTMASTER | 1396423869 | 2023-08-13 |
Ketevan Mdzinarishvili-fightmaster is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396423869. Registration indicates Ketevan Mdzinarishvili-fightmaster is a provider of services with a specialization in Speech, Language and Hearing Service Providers, Audiologist (Audiologist, ) (Vision/Audiology, ) (Audiologist, Speech, Language and Hearing Service Providers)
| Entity Type | Individual |
| Provider Name | Ketevan Mdzinarishvili-fightmaster AU.D. |
| Practice Office Address | 1998 HENDERSONVILLE RD STE 23 ASHEVILLE, NC US |
| Practice Office Telephone | 8284923883 |
| Mailing Address | 1998 HENDERSONVILLE RD STE 23 ASHEVILLE, NC 288032192 US |
| Business Telephone | 8284923833 |
| Code | Practice | License No State |
|---|---|---|
| 231H00000X PRIMARY | Speech, Language and Hearing Service Providers Audiologist Audiologist Vision/Audiology Audiologist Speech, Language and Hearing Service Providers | 30001849
NC |