Organization
COLUMBUS SPEECH & HEARING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON GLOVER (OFFICE MANAGER)
(706) 324-6112
Entity
Organization
Contact information
Practice address
2424 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2741
(706) 324-6112
(706) 596-8259
Mailing address
2424 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2741
(706) 324-6112
(706) 596-8259
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
062134
GA
235Z00000X
Speech-Language Pathologist
Primary
062134
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000636171A
—
GA
Enumeration date
03/19/2007
Last updated
08/28/2008
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