| J Branch Slp Services | |
|
5809 Westlake Dr, Tifton, GA 31794-2201 | |
| (229) 392-2521 | |
| (229) 386-5005 |
| Full Name | J Branch Slp Services |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 5809 Westlake Dr, Tifton, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801289798 | NPI | - | NPPES |
| 003148417B | Medicaid | GA | |
| 003158766A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP001263 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| J Branch Slp Services 5809 Westlake Dr, Tifton, GA 31794-2201 Ph: (229) 392-2521 | J Branch Slp Services 5809 Westlake Dr, Tifton, GA 31794-2201 Ph: (229) 392-2521 |
Mackenzie Cross, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 405 Love Ave, Tifton, GA 31794 Phone: 229-402-7188 | |
Rhonda Jordan, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1641 Madison Ave, Tifton, GA 31794 Phone: 229-353-6188 Fax: 229-353-7722 | |
Shannon K Mcdaniel, MED CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-5200 | |
Amy W Marshall, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-5200 | |
Kimberly Dawn Wilson, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1488 Old Ocilla Rd, Tifton, GA 31794 Phone: 229-386-5200 Fax: 229-386-1412 | |
Amy R Thomas, MED CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1641 Madison Ave, Tifton, GA 31794 Phone: 229-353-6188 | |
Procare Therapy Services Inc. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 607 42nd St E, Tifton, GA 31794 Phone: 229-392-3663 Fax: 229-387-0568 |