| NPI | 1992875843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY BETH WEBER Speech Language Pathologist 912-537-6130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: GA 003625) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |