Individual
ELIZABETH BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1014 FORSYTH ST, MACON, GA 31201-2051
(478) 633-2742
Mailing address
1014 FORSYTH ST, MACON, GA 31201-2051
(478) 633-8100
(478) 633-6268
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP008288
GA
Other
Enumeration date
09/05/2012
Last updated
08/18/2020
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