| |
2615 George Busbee Pkwy Nw Ste 11-318, Kennesaw, GA 30144-4981 | |
(770) 954-5655 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Hearing And Speech |
Location | 2615 George Busbee Pkwy Nw Ste 11-318, Kennesaw, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1144839077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
261QH0700X | Clinic/center - Hearing And Speech | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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2615 George Busbee Pkwy Nw Ste 11-318, Kennesaw, GA 30144-4981 Ph: (770) 954-5655 | 2615 George Busbee Pkwy Nw Ste 11-318, Kennesaw, GA 30144-4981 Ph: (770) 954-5655 |