Individual
SHERI MEDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
212 W 3RD ST SW, ROME, GA 30165-2802
(706) 624-3000
(706) 624-3001
Mailing address
365 S INDUSTRIAL BLVD, CALHOUN, GA 30701-3075
(706) 624-3000
(706) 624-3001
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004363
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10037586
AMERIGROUP
GA
01
—
332337
WELLCARE
GA
05
—
385626610A
—
GA
01
—
52891988001
BLUE CROSS BLUE SHIELD
GA
Enumeration date
06/22/2005
Last updated
11/13/2017
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