Organization
COMMUNICATION CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN MELTON DOUGLAS MED (SPEECH- LANGUAGE PATHOLOGIST)
(404) 317-4140
Entity
Organization
Contact information
Practice address
10354 SHEPPERTON CT, JONESBORO, GA 30238-7875
(404) 317-4140
(770) 603-5898
Mailing address
1415 HIGHWAY 85 N, SUITE 310-172, FAYETTEVILLE, GA 30214-7738
(404) 317-4140
(770) 603-9072
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005253
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000946558D
—
GA
Enumeration date
07/23/2011
Last updated
08/07/2011
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