Organization
THE COCOON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY PEDDLAR MS, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(631) 258-9396
Entity
Organization
Contact information
Practice address
780 WINDING GROVE LN, LOGANVILLE, GA 30052-7014
(631) 258-9396
Mailing address
780 WINDING GROVE LN, LOGANVILLE, GA 30052-7014
(631) 258-9396
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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