Individual
CAROLYN REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5439A HIGHWAY 76, CHATSWORTH, GA 30705-7312
(843) 540-2494
Mailing address
612 GI MADDOX PKWY, CHATSWORTH, GA 30705-2079
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010670
GA
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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