Organization
LEIGH ANNE GRIGGS BENNETT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE LEIGH ANNE GRIGGS BENNETT M.ED CCC-SLP (SPEECH-LANGUAGE THERAPIST)
(478) 290-0697
Entity
Organization
Contact information
Practice address
1205 BELLEVUE AVE, STE H, DUBLIN, GA 31021-4155
(478) 290-0697
Mailing address
1205 BELLEVUE AVE, STE H, DUBLIN, GA 31021-4155
(478) 290-0697
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126629A
—
GA
Enumeration date
05/22/2012
Last updated
04/10/2013
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