Individual
MRS. DARLA WIGGINS HARTZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD, CCC-SLP
Contact information
Practice address
106 MCDONALD AVE, CUTHBERT, GA 39840-5828
(229) 209-1293
(229) 732-6976
Mailing address
361 RANDOLPH ST, CUTHBERT, GA 39840-6127
(229) 209-1293
(229) 732-6976
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005874
GA
Other
Enumeration date
12/28/2006
Last updated
06/11/2012
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