| NPI | 1467695734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES NELSON Credentialing 678-438-7168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP006202) |
| Enumeration Date | 2009-04-15 |
| Last Update Date | 2018-12-11 |