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Organization
SPEECH HEARING AND REHABILITATION ENTERPRISES OF COASTAL GEORGIA INC.
Active
Organization
SPEECH HEARING AND REHABILITATION ENTERPRISES OF COASTAL GEORGIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL MEADOWS USSERY (EXECUTIVE DIRECOTR)
(912) 264-3141
Entity
Organization
Contact information
Practice address
2228 STARLING ST, BRUNSWICK, GA 31520-4200
(912) 264-3141
(912) 264-6190
Mailing address
2228 STARLING ST, BRUNSWICK, GA 31520-4200
(912) 264-3141
(912) 264-6190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008488
GA
235Z00000X
Speech-Language Pathologist
SLP001913
GA
235Z00000X
Speech-Language Pathologist
SLP002066
GA
Other
Enumeration date
12/19/2006
Last updated
07/29/2014
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