Individual
NATALIE KEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
304 PAWNEE CT, PERRY, GA 31069-2814
(478) 224-0311
Mailing address
2490 RIVERSIDE DR, STE B, MACON, GA 31204
(478) 633-6633
(478) 633-4295
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004047
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000942169B
—
GA
Enumeration date
12/20/2006
Last updated
12/21/2015
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