Organization
SPEECH THERAPY SERVICES, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGARET ANN PARKER (OWNER)
(229) 246-4088
Entity
Organization
Contact information
Practice address
502 WHEAT AVE, BAINBRIDGE, GA 39819-4325
(229) 246-4088
(229) 246-0205
Mailing address
502 WHEAT AVE, BAINBRIDGE, GA 39819-4325
(229) 246-4088
(229) 246-0205
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000738
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000626392B
—
GA
01
—
340266
WELLCARE PROVIDER NUMBER
GA
Enumeration date
07/01/2013
Last updated
03/04/2024
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