Individual
MISS DONNA RENEE SPIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4405 EVANS TO LOCKS RD, SUITE C, EVANS, GA 30809-3603
(706) 854-1598
Mailing address
1220 STONE MEADOWS CT, GROVETOWN, GA 30813-5944
(706) 955-7607
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007481
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
GA
Enumeration date
03/01/2011
Last updated
03/01/2011
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