| NPI | 1124677919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PEAVY Owner/Slp 706-842-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |