Coastal Speech Therapy | |
24 Serenity Farms Rd, Coastal Speech Therapy, Woodbine, GA 31569 | |
(912) 230-0024 | |
(912) 576-5182 |
Full Name | Coastal Speech Therapy |
---|---|
Type | Facility |
Speciality | Speech-language Pathologist |
Location | 24 Serenity Farms Rd, Woodbine, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417099755 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | CLP005987 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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Coastal Speech Therapy 12567 Ga Hwy 110, Woodbine, GA 31569 Ph: (912) 227-2524 | Coastal Speech Therapy 24 Serenity Farms Rd, Coastal Speech Therapy, Woodbine, GA 31569 Ph: (912) 230-0024 |
Bridgette Buie, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24 Serenity Farms Rd, Woodbine, GA 31569 Phone: 912-230-0024 Fax: 912-576-5182 | |
Olivia Smith, MED Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24 Serenity Farms Rd, Woodbine, GA 31569 Phone: 912-230-0024 Fax: 912-576-5182 | |
Carmen Hutchinson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 24 Serenity Farms Rd, Woodbine, GA 31569 Phone: 912-230-0024 Fax: 912-576-5182 |