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NPI Code Detail

MEDICARE: LAUREN WOODY CCC-SLP

MEDICARE:   LAUREN  WOODY  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 PathologistSLP012745GA

General Provider Information

NPI Number : 1407421951
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN WOODY CCC-SLP
Provider Business Mailing Address
First Line : 66 THOMAS GRACE ANNEX LN
Second Line :
City : SHARPSBURG
State : GA
Zip : 30277-3568
Country : US
Telephone Number : 707-683-0250
Fax Number : 770-683-4250
Provider Business Practice Location Address
First Line : 66 THOMAS GRACE ANNEX LN
Second Line :
City : SHARPSBURG
State : GA
Zip : 30277-3568
Country : US
Telephone Number : 707-683-0250
Fax Number : 770-683-4250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2021
Last Update Date : 07/01/2025

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Directions to “ LAUREN WOODY CCC-SLP” Practice Location

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