Healthcare Provider Details

I. General information

NPI: 1154233872
Provider Name (Legal Business Name): FRANK JARMAN III MA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 RIVERFIELD LN
COVINGTON GA
30014-1963
US

IV. Provider business mailing address

145 RIVERFIELD LN
COVINGTON GA
30014-1963
US

V. Phone/Fax

Practice location:
  • Phone: 770-787-1330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number235Z0000X
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: