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NPI Code Detail

MEDICARE: ALISSA ANTHONY BROOKS SLP

MEDICARE:   ALISSA ANTHONY BROOKS  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 PathologistSLP003021GA

General Provider Information

NPI Number : 1720143027
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISSA ANTHONY BROOKS SLP
Provider Business Mailing Address
First Line : 5900 WARM SPRINGS RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-4362
Country : US
Telephone Number : 706-561-1882
Fax Number : 706-561-1838
Provider Business Practice Location Address
First Line : 5900 WARM SPRINGS RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-4362
Country : US
Telephone Number : 706-561-1882
Fax Number : 706-561-1838
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/27/2006
Last Update Date : 01/24/2013

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Directions to “ ALISSA ANTHONY BROOKS SLP” Practice Location

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