Individual
NANCY HEATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5701 CLYDETTA DR, LAKE PARK, GA 31636-3443
(478) 278-6900
Mailing address
5701 CLYDETTA DR, LAKE PARK, GA 31636-3443
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004321
GA
Other
Enumeration date
01/04/2019
Last updated
01/04/2019
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