| Speech Pathology Associates Of South East Georgia, Pc | |
|
2976 Us Highway 84, Blackshear, GA 31516-4601 | |
| (912) 807-8255 | |
| (912) 807-8256 |
| Full Name | Speech Pathology Associates Of South East Georgia, Pc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 2976 Us Highway 84, Blackshear, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083727325 | NPI | - | NPPES |
| 000731464C | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP003867 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Speech Pathology Associates Of South East Georgia, Pc 4493 Arch Trl, Blackshear, GA 31516-4210 Ph: (912) 807-8255 | Speech Pathology Associates Of South East Georgia, Pc 2976 Us Highway 84, Blackshear, GA 31516-4601 Ph: (912) 807-8255 |
Lynette Powers, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3357 Ware St, Blackshear, GA 31516 Phone: 912-449-5615 Fax: 407-264-6557 | |
Marlee Bedford, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 949 Lakeview Drive, Blackshear, GA 31516 Phone: 912-807-5006 | |
Mrs. Shannon Strickland Bennett, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2976 Us Highway 84, Blackshear, GA 31516 Phone: 912-807-8255 Fax: 912-807-8256 |