Organization
CHEERIE GENTRY HUDSON, MED CCC-SLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHEERIE GENTRY HUDSON MED CCC-SLP (OWNER/SPEECH & LANGUAGE PATHOLOGIST)
(229) 831-7555
Entity
Organization
Contact information
Practice address
128 BERRY LN, CHULA, GA 31733-3422
(229) 831-7555
Mailing address
128 BERRY LN, CHULA, GA 31733-3422
(229) 831-7555
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001947
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003158706A
—
GA
Enumeration date
04/28/2015
Last updated
04/28/2015
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