| NPI | 1508316472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MCKOY CFO 470-278-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008675) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |