Individual
SUSAN HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4405 EVANS TO LOCKS RD STE C, EVANS, GA 30809-3737
(706) 854-1598
Mailing address
905 PRAIRIE PASS, EVANS, GA 30809-4247
(512) 521-1206
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP010392
GA
Other
Enumeration date
11/02/2018
Last updated
11/02/2018
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