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NPI Code Detail

MEDICARE: KRISTEN BROWNLEE HUDGINS CCC-SLP

MEDICARE: KRISTEN BROWNLEE HUDGINS 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 PathologistSLP007463GA

General Provider Information

NPI Number : 1912217100
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN BROWNLEE HUDGINS CCC-SLP
Provider Business Mailing Address
First Line : 404 KING SPRINGS VILLAGE PKWY SE
Second Line :
City : SMYRNA
State : GA
Zip : 30082-4240
Country : US
Telephone Number : 770-431-0816
Fax Number : 770-431-9940
Provider Business Practice Location Address
First Line : 404 KING SPRINGS VILLAGE PKWY SE
Second Line :
City : SMYRNA
State : GA
Zip : 30082-4240
Country : US
Telephone Number : 770-431-0816
Fax Number : 770-431-9940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2010
Last Update Date : 01/26/2011

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Directions to “ KRISTEN BROWNLEE HUDGINS CCC-SLP” Practice Location

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