Individual
JILL SHULTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMSC-CCC/SPEECH PATH
Contact information
Practice address
5910 PLANTATION DR, ROSWELL, GA 30075-2866
(678) 234-9779
Mailing address
5910 PLANTATION DR, ROSWELL, GA 30075-2866
(678) 234-9779
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP000711
GA
Other
Enumeration date
09/20/2009
Last updated
09/20/2009
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