Individual
EMILY GANTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
283 RED HAWK WAY, DALLAS, GA 30132-1149
(561) 801-3148
Mailing address
2 RAYMOND AVE NW, ROME, GA 30165-1526
(706) 676-2392
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/11/2016
Last updated
07/11/2016
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