Individual
MIESHA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, SLP
Contact information
Practice address
4153 FLAT SHOALS PKWY, SUITE 300A, BUILDING C, DECATUR, GA 30034-4106
(404) 244-9477
(855) 204-3767
Mailing address
4153 FLAT SHOALS PKWY, SUITE 300A, BUILDING C, DECATUR, GA 30034-4106
(404) 244-9477
(855) 204-3767
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP009403
GA
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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