Organization
FOENIX REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAUNCEY A MALONE (SPEECH LANGUAGE PATHOLOGIST)
(229) 288-7894
Entity
Organization
Contact information
Practice address
822 PARTRIDGE DR, ALBANY, GA 31707-3078
(229) 288-7894
Mailing address
822 PARTRIDGE DR, ALBANY, GA 31707-3078
(229) 288-7894
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/17/2022
Last updated
07/17/2022
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