Individual
ALEXANDRIA GINNY KOHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2225 BEMISS RD STE D, VALDOSTA, GA 31602-4819
(478) 987-1610
(973) 965-4580
Mailing address
225 WES PARK DR, PERRY, GA 31069-4829
(478) 987-1610
(973) 965-4580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010076
GA
Other
Enumeration date
05/01/2018
Last updated
05/01/2018
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