Individual
MRS. KRYSTAL TEMPLES GAITHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED. CCC-SLP
Contact information
Practice address
736 HIGHLAND CIR, NASHVILLE, GA 31639-5807
(229) 686-0771
Mailing address
736 HIGHLAND CIR, NASHVILLE, GA 31639-5807
(229) 686-0771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005735
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
577891570A
—
GA
05
—
577891570B
—
GA
Enumeration date
09/21/2007
Last updated
03/25/2019
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