| Elizabeth Olguin, MED CCC-SLP | |
|
515 Peterson Ave S Ste B, Douglas, GA 31533-5244 | |
| (912) 501-4047 | |
| (912) 501-5289 |
| Full Name | Elizabeth Olguin |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 515 Peterson Ave S Ste B, Douglas, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790419927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP011957 (Georgia) | Primary |
| Provider Name | South Georgia Therapy Center |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861030157 PECOS PAC ID: 2860814704 Enrollment ID: O20200622002204 |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth Olguin, MED CCC-SLP 515 Peterson Ave S Ste B, Douglas, GA 31533-5244 Ph: (912) 501-4047 | Elizabeth Olguin, MED CCC-SLP 515 Peterson Ave S Ste B, Douglas, GA 31533-5244 Ph: (912) 501-4047 |
Lisa Lewis, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 118 Pearl Ave N, Douglas, GA 31533 Phone: 912-331-0846 Fax: 678-792-4894 | |
Teresa Lynn Mcelroy, M ED CCC/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 618 Bowens Mill Rd Sw, Douglas, GA 31533 Phone: 912-331-0846 Fax: 912-331-0847 | |
Jessical Hall, M.ED CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 618 Bowens Mill Rd Sw, Douglas, GA 31533 Phone: 912-331-0846 Fax: 678-792-4894 | |
Jayla Snipes Bullock, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 618 Bowens Mill Road Sw, Douglas, GA 31533 Phone: 912-389-0077 Fax: 912-389-0997 | |
Jld Speech Therapy, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 618 Bowens Mill Rd Sw, Douglas, GA 31533 Phone: 912-539-1612 Fax: 912-764-6494 | |
Susan Ivey Fortner, M.ED., CF/SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 306 Shirley Ave, Douglas, GA 31533 Phone: 912-331-0846 Fax: 678-792-4894 | |
Brandie Altman, M.ED CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 618 Bowens Mill Rd Sw, Douglas, GA 31533 Phone: 912-331-0846 Fax: 678-792-4894 |