Individual
CAROL A. FAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED., CCC-SLP
Contact information
Practice address
2515 DOUBLE CHURCHES RD, COLUMBUS, GA 31909-2742
(706) 660-8336
Mailing address
PO BOX 6327, COLUMBUS, GA 31917-6327
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004979
GA
Other
Enumeration date
06/25/2007
Last updated
05/09/2011
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