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Organization
THOMASVILLE PEDIATRIC SPEECH, LLC
Active
Organization
THOMASVILLE PEDIATRIC SPEECH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BASSHA WALKER SLP (SPEECH LANGUAGE PATHOLOGIST)
(904) 403-9409
Entity
Organization
Contact information
Practice address
22249 US HIGHWAY 84 E, BOSTON, GA 31626-3745
(904) 403-9409
(904) 498-7782
Mailing address
22249 US HIGHWAY 84 E, BOSTON, GA 31626-3745
(229) 403-9409
(229) 498-7782
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
GA
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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