Individual
MISS MARY AMELIA PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-1608
(706) 721-5222
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
4084
SC
235Z00000X
Speech-Language Pathologist
Primary
SLP006814
GA
Other
Enumeration date
05/14/2007
Last updated
09/08/2022
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