| NPI | 1699183434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON SINGLETON WILSON Speech Language Pathologist 770-871-1922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP007911) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2015-10-01 |