Individual
SHARON CHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1701 N PATTERSON ST, VALDOSTA, GA 31602-2940
(229) 244-4545
Mailing address
1701 N PATTERSON ST, VALDOSTA, GA 31602-2940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006156
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100842
TRADING PARTNER ID
GA
01
—
340205
WELLCARE
GA
Enumeration date
12/29/2006
Last updated
07/08/2007
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