Individual
KAY WEAVER HANCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
4550 ARKWRIGHT RD, MACON, GA 31210-1302
(478) 477-0601
(478) 477-0133
Mailing address
4550 ARKWRIGHT RD, MACON, GA 31210-1302
(478) 477-0601
(478) 477-0133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
005800
GA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106947951D
—
GA
Enumeration date
11/22/2005
Last updated
01/06/2021
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