Organization
SOUTHERN SPEECH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICKI BECKUM SLP (OWNER)
(912) 489-1258
Entity
Organization
Contact information
Practice address
109 S ZETTEROWER AVE, STATESBORO, GA 30458-4898
(912) 489-1258
(912) 764-7006
Mailing address
PO BOX 1605, STATESBORO, GA 30459-1605
(912) 489-1258
(912) 764-7006
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001612
GA
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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