| NPI | 1073125118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN SAMPSON STAPP Ccc Slp/Speech Language Pathologist 229-516-0938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2023-03-29 |