| NPI | 1285912345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN MELTON DOUGLAS Speech Language Pathologist 404-317-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP005253) |
| Enumeration Date | 2011-07-23 |
| Last Update Date | 2011-08-07 |