Individual
SALLY GRUMBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 BELLVIEW RDG, SHARPSBURG, GA 30277-1556
(770) 463-3413
Mailing address
30 BELLVIEW RDG, SHARPSBURG, GA 30277-1556
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
382839
GA
Other
Enumeration date
05/24/2012
Last updated
05/24/2012
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