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Organization

BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA

Active
Other names
The University of Georgia Speech and Hearing Clinic, UGA Speech and Hearing Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
TERRY J RAGAN (CLINIC DIRECTOR)
(919) 937-4222
Entity
Organization

Contact information

Practice address
110 CARLTON ST. 593 ADERHOLD HALL, ATHENS, GA 30602-5004
(706) 542-4598
(706) 542-4574
Mailing address
110 CARLTON ST, ATHENS, GA 30602-5004
(706) 542-4598
(706) 542-4574

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
235Z00000X
Speech-Language Pathologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000395403A
GA
Enumeration date
09/20/2006
Last updated
05/24/2021
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