Organization
ABLE PEDIATRICS HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANNON N MYERS MD (MEDICAL DIRECTOR)
(706) 842-5331
Entity
Organization
Contact information
Practice address
3727 EXECUTIVE CENTER DR, AUGUSTA, GA 30907-2398
(706) 842-5331
(706) 842-5351
Mailing address
3727 EXECUTIVE CENTER DR, AUGUSTA, GA 30907-2398
(706) 842-5331
(706) 842-5351
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFT011580
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT006115
GA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
10/05/2017
Last updated
01/04/2018
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