Sally Grumbles
Individual provider Active NPI Speech-Language Pathologist · Sharpsburg, GA
NPI 1104186147 · NPPES record last updated May 24, 2012
Key facts
- NPI
- 1104186147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 382839 (GA)
- Practice address
- 30 Bellview RDG
Sharpsburg, GA 30277-1556 - Phone
- (770) 463-3413
- NPI assigned
- May 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 382839 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 382839 | GA | Yes |
Addresses
Primary practice location
30 Bellview RDG
Sharpsburg, GA 30277-1556
Mailing address
30 Bellview RDG
Sharpsburg, GA 30277-1556
Other providers in Sharpsburg, GA
- Georgia Cancer Specialists I PC
- Georgia Dental Professionals, PC
- GHM Partners, LLC
- Donald Griffin
- Roy Lee Grumbles
- Danielle Justine Guild
- Samir Kishor Hajariwala
- Kristin Leann Hall
- Mary S. Hall
- Joshua Hanson
All providers in Sharpsburg, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.