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NPI Code Detail

MEDICARE: MRS. KERRIE ALLEN AMMONS MCD, CCC-SLP

MEDICARE:  MRS. KERRIE ALLEN AMMONS  MCD, 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 Pathologist253Z00000XSC

General Provider Information

NPI Number : 1710121546
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KERRIE ALLEN AMMONS MCD, CCC-SLP
Provider Business Mailing Address
First Line : 1931 BULL ST
Second Line :
City : COLUMBIA
State : SC
Zip : 29201-2560
Country : US
Telephone Number : 803-767-4832
Fax Number :
Provider Business Practice Location Address
First Line : 103 CLAIR DR STE A
Second Line :
City : PIEDMONT
State : SC
Zip : 29673-6401
Country : US
Telephone Number : 864-295-0944
Fax Number : 864-751-1646
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2009
Last Update Date : 04/23/2009

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Directions to “ MRS. KERRIE ALLEN AMMONS MCD, CCC-SLP” Practice Location

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