Individual
CORLYN DOOLITTLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
412 LAKESIDE VILLA DR, LOVEJOY, GA 30228
(706) 231-4105
Mailing address
2626 SUMMIT PKWY SW, ATLANTA, GA 30331-9425
(706) 231-4105
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
GA
Other
Enumeration date
01/23/2015
Last updated
06/09/2020
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