Individual
JANNA S WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1415 ALICE ST, WAYCROSS, GA 31501-4528
(912) 283-0777
(912) 283-7757
Mailing address
2735 MIKELL LAKE RD, PATTERSON, GA 31557-2009
(912) 647-2170
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006231
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251849142D
—
GA
Enumeration date
08/16/2006
Last updated
06/04/2009
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