Individual
MRS. PAIGE BIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
5000 RESEARCH CT STE 450, SUWANEE, GA 30024-6660
(770) 205-5551
Mailing address
7020 SILVER FOX TRL, CUMMING, GA 30040-6654
(678) 689-9186
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003638
GA
Other
Enumeration date
04/16/2019
Last updated
04/16/2019
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