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Organization
THE SPEECH PATH OF STATESBORO, PC
Active
Organization
THE SPEECH PATH OF STATESBORO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE BOWMAN SLP (OWNER)
(912) 489-1258
Entity
Organization
Contact information
Practice address
109 S ZETTEROWER AVE, STATESBORO, GA 30458-4898
(912) 489-1258
(912) 764-7006
Mailing address
PO BOX 1605, STATESBORO, GA 30459-1605
(912) 489-1258
(912) 764-7006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005237
GA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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