Individual
COLE VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
5723 GEORGIA HIGHWAY 21 S, RINCON, GA 31326-5554
(912) 330-6127
Mailing address
PO BOX 1220, RINCON, GA 31326-1220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET004398
GA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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