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NEDDIE NICOLE JENKINS
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1245394824
Individual Registrant: NEDDIE NICOLE JENKINS
Gender: F
Not Sole Proprietor
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
Tel: 706-294-3773 Fax: 803-202-0334
Contact information for business:
996 SHADWELL DR EVANS, GA 30809-4539 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1245394824
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 | 004805 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
