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Individual

GERI A HESTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M ED CCC SLP

Contact information

Practice address
372 JP PERRY RD, NORMAN PARK, GA 31771-4041
(229) 769-3401
(229) 769-3511
Mailing address
372 JP PERRY RD, NORMAN PARK, GA 31771-4041
(229) 769-3401
(229) 769-3511

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004096
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000811247B
GA
01
12014030
ASHA ACCT NO.
01
SLP004096
GA LICENSE NO.
GA
Enumeration date
08/30/2005
Last updated
05/16/2016
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