MEDICARE: ERIN LEONARD RAGSDALE

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
1	235Z00000X	Speech-Language Pathologist	SLP005567	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881881514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN LEONARD RAGSDALE

Provider Business Mailing Address
First Line	:	6255 BARFIELD RD NE
Second Line	:	SUITE 165
City	:	ATLANTA
State	:	GA
Zip	:	30328-4319
Country	:	US
Telephone Number	:	404-250-0807
Fax Number	:

Provider Business Practice Location Address
First Line	:	6255 BARFIELD RD NE
Second Line	:	SUITE 165
City	:	ATLANTA
State	:	GA
Zip	:	30328-4319
Country	:	US
Telephone Number	:	404-250-0807
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2007
Last Update Date	:	09/26/2007

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Directions to “ ERIN LEONARD RAGSDALE ” Practice Location

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