Individual
STACY PRATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED CCC/SLP
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-9663
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-9663
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003506
GA
Other
Enumeration date
03/07/2013
Last updated
03/07/2013
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