| NPI | 1568970457 |
|---|---|
| Other Name | LLC |
| Entity Type | Organization |
| Authorized Contact | LAURA WORTHINGTON ELLIS Owner/Director 678-621-9381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: FL 12125) |
| Enumeration Date | 2018-01-14 |
| Last Update Date | 2018-01-14 |