Organization
SPEECH ON THE GO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RUSSEL HELTON M.A. (PRESIDENT)
(678) 316-4338
Entity
Organization
Contact information
Practice address
4864 RED OAK DR, GAINESVILLE, GA 30506-5375
(678) 316-4338
(186) 635-3578
Mailing address
4864 RED OAK DR, GAINESVILLE, GA 30506-5375
(678) 316-4338
(186) 635-3578
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000669
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000559589D
—
GA
01
—
10036211
AMERIGROUP
GA
01
—
307631
WELLCARE
GA
Enumeration date
04/05/2011
Last updated
04/05/2011
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