Organization
SHANNON D BRAGG MA CCC-SLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON D. BRAGG (SPEECH LANGUAGE PATHOLOGIST)
(770) 871-6338
Entity
Organization
Contact information
Practice address
1551 PINE CREEK WAY, WOODSTOCK, GA 30188-4355
(770) 871-6338
Mailing address
1551 PINE CREEK WAY, WOODSTOCK, GA 30188-4355
(770) 871-6338
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/25/2019
Last updated
09/25/2019
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