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Organization

SAVANNAH SPEECH AND HEARING CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARRIE H LANCASTER (BOOKKEEPER)
(912) 355-4601
Entity
Organization

Contact information

Practice address
5414 SKIDAWAY RD, SAVANNAH, GA 31406-2248
(912) 355-4601
(912) 355-7935
Mailing address
1206 E 66TH ST, SAVANNAH, GA 31404-5704
(912) 355-4601
(912) 355-7935

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100052108
AMERIGROUP ID NUMBER
GA
05
300018620A
GA
01
340991
WELLCARE ID NUMBER
GA
05
GPA809
SC
Enumeration date
02/08/2007
Last updated
03/05/2024
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