Individual
EBONI BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5408 PARK CIR, STONE MOUNTAIN, GA 30083-2260
(470) 234-7550
Mailing address
2330 MCKENNA SQUARE DR, LITHONIA, GA 30058-5698
(205) 447-5703
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010208
GA
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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