Individual
ANITA SUMNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2015 OSBORNE RD, UNIT A, SAINT MARYS, GA 31558-9165
(912) 576-9603
(912) 576-9865
Mailing address
2015 OSBORNE RD, UNIT A, SAINT MARYS, GA 31558-9165
(912) 576-9603
(912) 576-9865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET001926
GA
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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