Mr Robert L Bennett Iii, | |
613 Winifred Rd, Leesburg, GA 31763-5342 | |
(662) 497-2701 | |
Not Available |
Full Name | Mr Robert L Bennett Iii |
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Gender | Male |
Speciality | Speech-language Pathologist |
Location | 613 Winifred Rd, Leesburg, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255498218 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP005877 (Georgia) | Primary |
Provider Name | Power Talk Communication Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1912518507 PECOS PAC ID: 7214354299 Enrollment ID: O20200908000323 |
Mailing Address | Practice Location Address |
---|---|
Mr Robert L Bennett Iii, 613 Winifred Rd, Leesburg, GA 31763-5342 Ph: (662) 497-2701 | Mr Robert L Bennett Iii, 613 Winifred Rd, Leesburg, GA 31763-5342 Ph: (662) 497-2701 |
Angela Gordon Vick, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 244 Long Pine Dr, Leesburg, GA 31763 Phone: 229-395-9255 | |
Ms. Karen S. Williamson, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 108 Hawkstead Dr, Leesburg, GA 31763 Phone: 229-347-1010 | |
Amy Elaine Giles, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 119 Browning Ct, Leesburg, GA 31763 Phone: 229-344-3999 Fax: 229-436-1062 | |
Mrs. Nicole Dionne Mays, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 100 Paula Ct, Leesburg, GA 31763 Phone: 229-449-0142 | |
Mrs. Laura Lynn Wilson, CCC-SLP, M.ED. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 196 Mcdonald Ct, Leesburg, GA 31763 Phone: 229-432-2273 | |
Jeh Speech & Swallowing Therapy Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 231 Winnstead Dr, Leesburg, GA 31763 Phone: 229-881-4244 Fax: 845-237-5510 |