Organization
DANA PAULK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA P PAULK MED CCC-SLP (OWNER)
(229) 325-6450
Entity
Organization
Contact information
Practice address
809 W 3RD ST, OCILLA, GA 31774-1740
(229) 325-6450
Mailing address
809 W 3RD ST, OCILLA, GA 31774-1740
(229) 325-6450
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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