Individual
JILL S MCCORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1244 CLAIRMONT RD STE 108, DECATUR, GA 30030-1250
(404) 728-9766
(404) 728-9166
Mailing address
7981 MAGNOLIA SQ, SANDY SPRINGS, GA 30350-4025
(404) 728-9766
(404) 728-9166
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004000
GA
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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