Organization
KATHLEEN J MCGREGOR, M.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN J MCGREGOR M.A. (CEO)
(770) 945-4321
Entity
Organization
Contact information
Practice address
4992 BRISTOL INDUSTRIAL WAY, BUFORD, GA 30518-1742
(770) 945-4321
(770) 945-4115
Mailing address
4992 BRISTOL INDUSTRIAL WAY, BUFORD, GA 30518-1742
(770) 945-4321
(770) 945-4115
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000547368B
—
GA
Enumeration date
09/11/2018
Last updated
09/11/2018
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