| NPI | 1831861905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJENETTA I LEWIS Speech Language Pathologist 478-227-3187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2021-09-28 |
| Last Update Date | 2021-09-28 |