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NPI Code Detail

MEDICARE: JENNIFER JOINER MED.CCC-SLP

MEDICARE: JENNIFER JOINER MED.CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP006276GA

General Provider Information

NPI Number : 1194800953
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER JOINER MED.CCC-SLP
Provider Business Mailing Address
First Line : 3832 STRATFORD CIR
Second Line :
City : VALDOSTA
State : GA
Zip : 31605-4855
Country : US
Telephone Number : 229-333-0878
Fax Number :
Provider Business Practice Location Address
First Line : 903 N COURT ST
Second Line :
City : QUITMAN
State : GA
Zip : 31643-1315
Country : US
Telephone Number : 229-263-6327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/27/2006
Last Update Date : 07/08/2007

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Directions to “ JENNIFER JOINER MED.CCC-SLP” Practice Location

Language Start Address Practice Location
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