Individual
JOEL RADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1061 EUHARLEE RD, EUHARLEE, GA 30145-2807
(770) 606-5871
Mailing address
593 MICHAEL CT, LAWRENCEVILLE, GA 30044-5723
(470) 503-6248
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002731
GA
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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