Search › Georgia › 235Z00000X
Gene Tackett, CCC-SLP
NPI 1396052296 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1111 Hunt Rd
Danielsville, GA 30633 - Phone
- (706) 424-8191
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-09-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia