MEDICARE: SARABETH DORIS GASKIN M.ED., CF-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
1	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1922681964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARABETH DORIS GASKIN M.ED., CF-SLP

Provider Business Mailing Address
First Line	:	17 SPARNEL RD
Second Line	:
City	:	SAVANNAH
State	:	GA
Zip	:	31411-3029
Country	:	US
Telephone Number	:	229-300-0211
Fax Number	:

Provider Business Practice Location Address
First Line	:	335 OLD RAIL ROAD
Second Line	:
City	:	BLOOMINGDALE
State	:	GA
Zip	:	31302
Country	:	US
Telephone Number	:	404-414-2896
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2021
Last Update Date	:	04/28/2021

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