// JavaScript Document – Healthcare Provider Listing Application

Acoustic Neuroma Association
600 Peachtree Parkway
Suite 108
Cumming, GA 30041

Website Healthcare Provider Listing - Pay by Check

If you have questions:
  Email: director@anausa.org
  Phone: 770-205-8211.

1 Year Membership:(*)

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Center/Individual Provider Name:(*)
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Address:(*)
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Main Phone:(*)
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Listing Fax:
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Website:(*)
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Listing Email:
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Provider Expertise can be one of the following:

  1. Bulleted list (max - 10 bullets, 45 characters each)
  2. Example of a Center Listing in bullet format:

    • Comprehensive team including Neurotology, Neurosurgery, Radiation Oncology, Audiology, Physical Therapy, Facial Plastic Surgery
    • Surgical Options: Middle Fossa, Translabyrinthine, Retrosigmoid
    • Stereotactic Radiosurgery and Radiotherapy - CyberKnife
    • Physical Therapy
    • Facial Reanimation Surgery, Botox Injections
    • Hearing Rehabilitation - Baha, CROS Amplification

  3. Paragraph (30 words max.)
  4. Example of an Individual Listing in paragraph format:

    Dr. Smith is an ENT physician with a special interest in treating acoustic neuromas and other tumors of the ear, temporal bone and facial nerve as well as otosclerosis and vestibular disorders. He also specializes in cochlear implants and other implantable hearing devices and surgery for various disorders/conditions.

Provider Expertise:

Please follow one of the configurations above. We will format to fit our parameters and send to you for approval. If no changes are required on your expertise, please type "no change".

(*)
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Select keywords below to allow your listing to be filtered on our Provider Listing search screen.
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Below is contact information for ANA only. This will not display on the website listing.
Contact Name:(*)
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Contact Title:(*)
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Contact Email:(*)
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Contact Phone:(*)
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Designate ANA Member (if different from contact person)
Member Name
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Member Title
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Member Email
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Member Phone
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