Individual
SUMMER S MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED CCC-SLP
Contact information
Practice address
515 PETERSON AVE S STE B, DOUGLAS, GA 31533-5244
(912) 501-4047
(912) 501-5289
Mailing address
515 PETERSON AVE S STE B, DOUGLAS, GA 31533-5244
(912) 501-4047
(912) 501-5289
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013470
GA
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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