SHANKAR NARAYAN VISWANATHA

TIFTON, GA
NPI1730301433
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: GA  SLP004574)
Enumeration Date2007-05-03
Last Update Date2007-07-08
Business Address
Mr. SHANKAR NARAYAN VISWANATHA
607 42ND ST E
TIFTON, GA 31794-1549
Phone number: 229-392-3663
Mailing Address
Mr. SHANKAR NARAYAN VISWANATHA
607 42ND ST E
TIFTON, GA 31794-1549
Phone number: 229-392-3663