Individual
MRS. CHARLOTTE C BRATHWAITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2906 PROFESSIONAL PKWY, AUGUSTA, GA 30907-6503
(706) 868-8686
(706) 868-8643
Mailing address
2906 PROFESSIONAL PKWY, AUGUSTA, GA 30907-6503
(706) 868-8686
(706) 868-8643
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001639
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10065241
AMERIGROUP
GA
01
—
312243
WELLCARE
GA
Enumeration date
11/02/2006
Last updated
07/09/2007
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