Organization
COASTAL SPEECH AND FEEDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ABIGAIL ELIZABETH STUCKEY M.S. CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(912) 306-9839
Entity
Organization
Contact information
Practice address
104 CARLTON RD, SAVANNAH, GA 31410-4304
(912) 306-9839
Mailing address
104 CARLTON RD, SAVANNAH, GA 31410-4304
(912) 306-9839
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003201925A
—
GA
Enumeration date
09/21/2018
Last updated
09/25/2018
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