Organization
PEACHTREE CITY SPEECH AND LANGUAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN D WILLIAMS M.ED.-CCC/SLP (SPEECH-LANGUAGE PATHOLOGIST/OWNER)
77036319299
Entity
Organization
Contact information
Practice address
277 HIGHWAY 74 N, SUITE 203, PEACHTREE CITY, GA 30269-1569
(770) 363-1929
(678) 364-0858
Mailing address
277 HIGHWAY 74 N, SUITE 203, PEACHTREE CITY, GA 30269-1569
(770) 363-1929
(678) 364-0858
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003905
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891207907A
—
GA
Enumeration date
08/10/2009
Last updated
08/10/2009
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