| NPI | 1932432168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY EDMUNDS JACOBS Speech Language Pathologist 229-928-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: GA SLP006018) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-09 |