| NPI | 1912239542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATSY SMITH THORNTON Speech Language Pathologist 229-794-2754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP003453) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: GA SLP002047) |
| Enumeration Date | 2010-02-08 |
| Last Update Date | 2010-02-08 |