| NPI | 1174859706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDY COVENEY Insurance Coordinattor 770-355-5960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004726) |
| Enumeration Date | 2009-11-02 |
| Last Update Date | 2009-11-02 |