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Individual

ELIZABETH PEAVY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED.CCC-SLP

Contact information

Practice address
536 GRAND SLAM DR, EVANS, GA 30809-8044
(706) 854-8434
(706) 854-8435
Mailing address
536 GRAND SLAM DR, EVANS, GA 30809-8044
(706) 854-8434
(706) 854-8435

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
PCET002045
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP008920
GA

Other

Enumeration date
08/13/2014
Last updated
06/29/2015
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