Individual
HOLLIE PADGETT HARRELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M ED CCC-SLP
Contact information
Practice address
12 E OAK ST, MC RAE HELENA, GA 31055-4337
(229) 315-1108
(229) 234-4286
Mailing address
5 MUSCADINE DR, MC RAE HELENA, GA 31037-4039
(229) 315-1108
(229) 868-5894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006542
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265969642A
—
GA
Enumeration date
12/18/2006
Last updated
08/16/2024
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