Organization
SPEECH LANGUAGE PATHOLOGIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATASHA SUZANNE VITART (SPEECH LANGUAGE PATHOLOGIST)
(770) 432-4444
Entity
Organization
Contact information
Practice address
404 KING SPRINGS VILLAGE PKWY SE, SMYRNA, GA 30082-4240
(770) 432-4444
Mailing address
404 KING SPRINGS VILLAGE PKWY SE, SMYRNA, GA 30082-4240
(770) 432-4444
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/04/2014
Last updated
01/26/2015
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