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Individual

MRS. MARY LYNN TALTON NAIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SLP/CCC

Contact information

Practice address
1230 BAXTER ST, ATHENS, GA 30606-3712
(706) 389-3926
Mailing address
1031 WAVERLY RIDGE PT, BOGART, GA 30622-3124
(706) 369-0106

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004028
GA

Other

Enumeration date
10/09/2007
Last updated
10/09/2007
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