Individual provider · NPI-1
Nichol Eilts
Speech-Language Pathologist, · Buford, GA
NPI number1386045219
StatusActive
Last updated in NPPESDec 1, 2025
Details
- NPI
- 1386045219
- Entity type
- Individual (NPI-1)
- Name
- Nichol Eilts
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 10, 2014
- Certification date
- Dec 1, 2025
- Last updated
- Dec 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP012860 | GA | Yes |
Practice location
4992 Bristol Industrial WayBuford, GA 30518-1742
Phone 770-904-6419 · Fax 770-904-6418
Mailing address
4992 Bristol Industrial WayBuford, GA 30518-1742
Phone 770-904-6419 · Fax 770-904-6418
Other practice locations
381 Harmony Grove Ln
Jefferson, GA 30549-7930
Jefferson, GA 30549-7930
Phone 706-424-2848
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