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Individual

GINA T GRIMES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.S., CCC-SLP

Contact information

Practice address
3825 JOHNSTON RD, VALDOSTA, GA 31601-2113
(229) 460-0943
Mailing address
3825 JOHNSTON RD, VALDOSTA, GA 31601-2113
(229) 460-0943

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004334
GA

Other

Enumeration date
02/11/2018
Last updated
02/11/2018
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