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Organization
ADVANTIS THERAPY, LLC
Active
Organization
ADVANTIS THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA UCCARDI MA, CCC-SLP (OWNER)
(912) 459-1550
Entity
Organization
Contact information
Practice address
82 B EDSEL DR, RICHMOND HILL, GA 31324
(912) 459-1550
Mailing address
82 B EDSEL DR, RICHMOND HILL, GA 31324
(912) 459-1550
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109758
GEORGIA EDUCATOR CERTIFICATE
GA
Enumeration date
07/11/2014
Last updated
07/11/2014
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