Organization
SOUTH GEORGIA SMALL TALK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA DURHAM (OWNER)
(229) 456-2698
Entity
Organization
Contact information
Practice address
231 DALE DEMOTT RD, DOERUN, GA 31744-4703
(229) 456-2698
Mailing address
231 DALE DEMOTT RD, DOERUN, GA 31744-4703
(229) 456-2698
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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