Individual
MRS. PIPER SHEA HAYNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1385 OGLETHORPE ST, MACON, GA 31201-1511
(478) 746-1037
Mailing address
106 ERIN WAY, WARNER ROBINS, GA 31088-4188
(478) 224-3717
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004646
GA
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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