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Organization
SWALLOWING DOCTOR
Active
Organization
SWALLOWING DOCTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KWESI ADEDEJI-WATSON EED-SLP (CLINICIAN)
(678) 545-0272
Entity
Organization
Contact information
Practice address
1691 PHOENIX BLVD STE 395, ATLANTA, GA 30349-5511
(678) 545-0273
Mailing address
1691 PHOENIX BLVD STE 395, ATLANTA, GA 30349-5511
(678) 545-0273
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/03/2021
Last updated
03/03/2021
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