Individual
ALISHA MAINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 SHAKERAG HL STE 108, PEACHTREE CITY, GA 30269-6523
(678) 619-0178
Mailing address
6000 SHAKERAG HL STE 108, PEACHTREE CITY, GA 30269-6523
(678) 619-0178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET004187
GA
Other
Enumeration date
04/23/2025
Last updated
04/23/2025
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