Kim Greenway, CCC-SLP
Speech-Language Pathologist, in Wrightsville, GA. Individual provider (NPI-1).
NPI number1457414435
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1457414435
- Entity type
- Individual (NPI-1)
- Name
- Kim Greenway
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP005011 | GA | Yes |
Practice location
Rr 4 Box 2084Wrightsville, GA 31096-9208
Phone 478-864-6004
Mailing address
Rr 4 Box 2084Wrightsville, GA 31096-9208
Phone 478-864-6004
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