| NPI | 1053839456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE NELSON WILLIS Owner 478-454-8889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center Hearing and Speech (Licence: GA SLP007707) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2022-07-21 |