Individual
MELANIE SUMNER ROYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED CCC SLP
Contact information
Practice address
1488 OLD OCILLA RD, TIFTON, GA 31794-4152
(229) 386-5200
Mailing address
1488 OLD OCILLA RD, TIFTON, GA 31794-4152
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP004736
GA
Other
Enumeration date
01/19/2007
Last updated
07/09/2007
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