Organization · NPI-2

Buford Kids Spot Lllp

Speech-Language Pathologist, · Buford, GA

NPI number1669004743
StatusActive
Last updated in NPPESFeb 6, 2020

Details

NPI
1669004743
Entity type
Organization (NPI-2)
Legal business name
Buford Kids Spot Lllp
Organization subpart
No
Enumeration date
Feb 6, 2020
Certification date
Feb 6, 2020
Last updated
Feb 6, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,––Yes
225100000X Physical Therapist––
225X00000X Occupational Therapist––

Practice location

2140 Buford Hwy Ste 109
Buford, GA 30518-6121

Phone 404-358-2640

Mailing address

6516 Rosecommon Dr
Peachtree Corners, GA 30092-1862

Authorized official

Deborah Hughes
Owner/Partner
4043582640

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