Individual
HERBERT LACKEY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 BATTLEFIELD CANOPY CIR, RINGGOLD, GA 30736-5052
(706) 445-3655
Mailing address
54 BATTLEFIELD CANOPY CIR, RINGGOLD, GA 30736-5052
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013643
GA
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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