Individual
LILLIAN BETH WAYNE-BUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3980 HIGHWAY 115, DEMOREST, GA 30535-3143
(706) 768-9950
Mailing address
3980 HIGHWAY 115, DEMOREST, GA 30535-3143
(706) 768-9950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP006182
GA
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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