Individual
DR. ELIZABETH F MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.,CCC-SLP
Contact information
Practice address
1206 E 66TH ST, SAVANNAH, GA 31404-5704
(912) 355-4601
(912) 355-7935
Mailing address
1206 E 66TH ST, SAVANNAH, GA 31404-5704
(912) 355-4601
(912) 355-7935
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
379
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000563648B
—
GA
01
—
10052157
AMERIGROUP PROVIDER #
GA
01
—
340955
WELLCARE PROVIDER #
GA
Enumeration date
11/29/2006
Last updated
05/11/2016
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