Individual
NICOLE HORNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2015 OSBORNE RD STE A, SAINT MARYS, GA 31558-9164
(912) 576-9603
(912) 576-9865
Mailing address
2015 OSBORNE RD STE A, SAINT MARYS, GA 31558-9164
(912) 576-9603
(912) 576-9865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET003787
GA
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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