Individual
JASMINE EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1385 OGLETHORPE ST, MACON, GA 31201-1511
(478) 746-1037
Mailing address
757 WINBROOK DR, MCDONOUGH, GA 30253-8038
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002131
GA
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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