Individual
KIM GREENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
RR 4 BOX 2084, WRIGHTSVILLE, GA 31096-9208
(478) 864-6004
Mailing address
RR 4 BOX 2084, WRIGHTSVILLE, GA 31096-9208
(478) 864-6004
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP005011
GA
Other
Enumeration date
12/19/2006
Last updated
07/09/2007
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