NPI age
19 years
Enumerated 2006-11-29
Across 5327 active speech-language pathologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00658369B | |
| 01 (GA) | 10049370 | AMERIGROUP PROVIDER # |
| 01 (GA) | 341006 | WELLCARE PROVIDER # |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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