| NPI | 1912481367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABIGAIL ELIZABETH STUCKEY Speech Language Pathologist 912-306-9839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2018-09-21 |
| Last Update Date | 2018-09-25 |