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NEDDIE NICOLE JENKINS

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1245394824

Individual Registrant:
 NEDDIE NICOLE JENKINS 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
162 ABBA RD  FITZGERALD, GA 31750-6047 US
Tel: 706-294-3773  Fax: 803-202-0334

Contact information for business:
996 SHADWELL DR  EVANS, GA 30809-4539 US
Tel: --  Fax: --

Registration Information:
NPI: 1245394824
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
GA004805

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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