| NPI | 1184765729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE H LANCASTER Bookkeeper 912-355-4601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2024-03-05 |