| NPI | 1427209964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZANE KROG President 678-521-7136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA slp006600) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2019-11-05 |