| NPI | 1023543279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANSLEY MYRICK THOMAS Speech Language Pathologist 404-402-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007540) |
| Enumeration Date | 2017-04-25 |
| Last Update Date | 2017-04-25 |