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Individual

JEANNETTE BURGESS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1341 OLD FLAT BRANCH RD, ELLIJAY, GA 30540-1134
(706) 889-5789
Mailing address
1341 OLD FLAT BRANCH RD, ELLIJAY, GA 30540-1134

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003825
GA

Other

Enumeration date
09/02/2015
Last updated
09/02/2015
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