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NPI Code Detail

MEDICARE: MRS. MILLICENT ZIPPERER SOPT M.ED., CCC-SLP

MEDICARE: MRS. MILLICENT ZIPPERER SOPT M.ED., 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 PathologistSLP003979GA

General Provider Information

NPI Number : 1831220227
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MILLICENT ZIPPERER SOPT M.ED., CCC-SLP
Provider Business Mailing Address
First Line : 300 PLANTATION DR
Second Line :
City : QUITMAN
State : GA
Zip : 31643-3991
Country : US
Telephone Number : 229-263-4110
Fax Number :
Provider Business Practice Location Address
First Line : 903 N COURT ST
Second Line :
City : QUITMAN
State : GA
Zip : 31643-1315
Country : US
Telephone Number : 229-263-6327
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. MILLICENT ZIPPERER SOPT M.ED., CCC-SLP” Practice Location

Language Start Address Practice Location
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