Individual
KEISHA RENEE HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1823 BAILEY LN, LITHIA SPRINGS, GA 30122-2499
(912) 659-1245
Mailing address
1823 BAILEY LN, LITHIA SPRINGS, GA 30122-2499
(912) 659-1245
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
07/18/2018
Last updated
04/07/2020
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