Individual
KIMBERLY B ALFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
121 JACKSON ST, NEWNAN, GA 30263-1572
(770) 251-5873
(770) 304-2201
Mailing address
3600 E HIGHWAY 166, CARROLLTON, GA 30116-7540
(404) 444-6778
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003481
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003178358A
—
GA
05
—
003178358C
—
GA
Enumeration date
05/28/2013
Last updated
08/07/2023
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