Organization
PROCARE THERAPY SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANKAR NARAYAN VISWANATHA SLP (PRESIDENT)
(229) 392-3663
Entity
Organization
Contact information
Practice address
607 42ND ST E, TIFTON, GA 31794-1549
(229) 392-3663
(229) 387-0568
Mailing address
607 42ND ST E, TIFTON, GA 31794-1549
(229) 392-3663
(229) 387-0568
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004574
GA
Other
Enumeration date
10/11/2006
Last updated
08/22/2020
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