Individual
ANGELA MARIE HOPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC,SLP
Contact information
Practice address
162 ABBA RD, FITZGERALD, GA 31750-6047
(706) 399-9114
Mailing address
PO BOX 158, HARLEM, GA 30814-0158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
004862
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00881273C
—
GA
Enumeration date
12/18/2006
Last updated
07/09/2007
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