| NPI | 1518273770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA B RICHARDS Office Manager 229-244-3552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP004442) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2021-07-16 |