NPI age
19 years
Enumerated 2006-11-13
Across 5327 active speech-language pathologist providers in Georgia.
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 305467 | WELLCARE PROVIDER ID |
| 05 (GA) | 167270852A | |
| 01 (GA) | 20-0847484 | TAX IDENTIFICATION NUMBER |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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