Individual
MRS. ABBY VIRGINIA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
101 HARRIS INSUSTRIAL BLVD, VIDALIA, GA 30474
(912) 277-2053
Mailing address
623 RIMANDO CIR, VIDALIA, GA 30474-4950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010097
GA
Other
Enumeration date
10/22/2018
Last updated
10/22/2018
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