Organization
SEMANTIX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COREY EVONT EVANS MA CCC-SLP (SPEECH PATHOLOGIST)
(770) 492-1313
Entity
Organization
Contact information
Practice address
2185 NORTHLAKE PKWY, SUITE 110, TUCKER, GA 30084-4126
(770) 492-1313
(770) 492-1235
Mailing address
2185 NORTHLAKE PKWY, SUITE 110, TUCKER, GA 30084-4126
(770) 492-1313
(770) 492-1235
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP 005885
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP005335
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00955028D
—
GA
Enumeration date
03/05/2007
Last updated
08/22/2020
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