Organization
SUSAN A THURMAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN A THURMAN MED. CCC-SLP (OWNER/SPEECH & LANGUAGE PATHOLOGIST)
(912) 383-2769
Entity
Organization
Contact information
Practice address
185 THURMAN RD, BROXTON, GA 31519-3713
(912) 383-2769
Mailing address
185 THURMAN RD, BROXTON, GA 31519-3713
(912) 383-2769
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003751
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003189187A
—
GA
Enumeration date
04/04/2018
Last updated
04/04/2018
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