| NPI | 1760993497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH PEAVY Speech Language Pathologist 478-230-0431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP008920) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2022-12-09 |