Organization
RHONDA LANE GRAY THERAPY SERVICES,INC.
Active
Organization
RHONDA LANE GRAY THERAPY SERVICES,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA LANE GRAY M.A.C.C.C. S.L.P. (SPEECH-LANGUAGE PATHOLOGIST)
(706) 833-7376
Entity
Organization
Contact information
Practice address
601 N BELAIR SQ, #19, EVANS, GA 30809-4321
(706) 833-7376
Mailing address
1036 BARRETT DR, EVANS, GA 30809-4029
(706) 833-7376
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
SLP004870
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000897993
—
GA
01
—
01900609
AMERIGROUP
GA
01
—
11885042
CAQH
—
Enumeration date
04/30/2015
Last updated
04/30/2015
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up