Individual
ANNA THRIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, CCC-SLP
Contact information
Practice address
4212 CORAL PARK DR, BRUNSWICK, GA 31520-3016
(912) 342-8875
(912) 265-0041
Mailing address
306 SHIRLEY AVE, DOUGLAS, GA 31533-2332
(912) 331-0846
(678) 792-4894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010545
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003218094A
—
GA
Enumeration date
10/02/2018
Last updated
06/29/2019
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