Organization
KIDEMICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK HUGGINS (OWNER)
(404) 368-9343
Entity
Organization
Contact information
Practice address
211 38TH ST NE, FORT PAYNE, AL 35967-3909
(256) 364-2444
Mailing address
701 BRONZE CT, ACWORTH, GA 30102-3706
(404) 368-9343
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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