Individual
TAMMY LYNN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD
Contact information
Practice address
3581 BRASELTON HWY, DACULA, GA 30019-1027
(770) 999-0421
Mailing address
3581 BRASELTON HWY, DACULA, GA 30019-1027
(770) 999-0421
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006301
GA
Other
Enumeration date
08/26/2011
Last updated
02/23/2017
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