Organization
COMMUNICATION STATION GA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BARRELL (CO-OWNER)
(843) 540-2494
Entity
Organization
Contact information
Practice address
100 N 3RD AVE STE B, CHATSWORTH, GA 30705-2942
(843) 540-2494
(706) 534-9591
Mailing address
612 GI MADDOX PKWY, CHATSWORTH, GA 30705-2079
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
02/27/2025
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