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JOAN ADAMS
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1841480241
Individual Registrant: JOAN ADAMS
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
1701 N PATTERSON ST VALDOSTA, GA 31602-2940 US
Tel: 229-244-4545 Fax: --
Tel: 229-244-4545 Fax: --
Contact information for business:
1701 N PATTERSON ST VALDOSTA, GA 31602-2940 US
Tel: 229-244-4545 Fax: --
Tel: 229-244-4545 Fax: --
Registration Information:
NPI: 1841480241
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | GA | 004769 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MTW ORGANIZATION NPI | 1174741037 | GA | 01 |
