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3256 N Valdosta Rd Valdosta GA 31602-1778 | |
| (229) 560-6944 | |
| (888) 450-0379 |
| Full Name | |
|---|---|
| Speciality | Speech-language Pathologist |
| Location | 3256 N Valdosta Rd, Valdosta, Georgia |
| Authorized Official Name and Position | Erin Brantley Haskins (OWNER) |
| Authorized Official Contact | 2292921945 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
3256 N Valdosta Rd Valdosta GA 31602-1778 Ph: (229) 560-6944 | 3256 N Valdosta Rd Valdosta GA 31602-1778 Ph: (229) 560-6944 |
| NPI Number | 1457749087 |
|---|---|
| Provider Enumeration Date | 01/06/2015 |
| Last Update Date | 02/09/2024 |
| Certification Date | 02/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457749087 | NPI | - | NPPES |
| 003155975A | Medicaid | GA |
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