Individual
RONDA SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC, SLP
Contact information
Practice address
1112 PLAZA AVE, SUITE A, EASTMAN, GA 31023-9009
(478) 374-7733
Mailing address
724 COOK STILL RD, MILAN, GA 31060-4006
(478) 979-0750
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004765
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP004765
STATE LICENSE
GA
Enumeration date
10/12/2011
Last updated
10/12/2011
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