| Amie Gaston, MED, CF-SLP | |
|
2301 Bemiss Rd, Valdosta, GA 31602-1934 | |
| (229) 244-1667 | |
| Not Available |
| Full Name | Amie Gaston |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 2301 Bemiss Rd, Valdosta, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306520283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | PCET003817 (Georgia) | Primary |
| Provider Name | Azalea Rehab Services, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1992062426 PECOS PAC ID: 2365608692 Enrollment ID: O20141016001158 |
| Mailing Address | Practice Location Address |
|---|---|
| Amie Gaston, MED, CF-SLP 2301 Bemiss Rd, Valdosta, GA 31602-1934 Ph: (229) 244-1667 | Amie Gaston, MED, CF-SLP 2301 Bemiss Rd, Valdosta, GA 31602-1934 Ph: (229) 244-1667 |
Mrs. Jennifer M Stump, MED. CCC-SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 2301 Bemiss Rd, Valdosta, GA 31602 Phone: 229-244-1667 Fax: 229-244-8253 | |
Sarah Elizabeth Bryant, MED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 701 Baytree Rd, Suite C, Valdosta, GA 31602 Phone: 229-253-1009 Fax: 229-253-1039 | |
Kaysie Leigh Hart, M.ED.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 200 W Moore St, Valdosta, GA 31602 Phone: 229-253-8500 Fax: 229-253-8522 | |
Mrs. Amanda Kate Thomas, MED CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2301 Bemiss Rd, Valdosta, GA 31602 Phone: 229-244-1667 Fax: 229-244-8253 | |
Adrienne D Montgomery, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 809 N Patterson St, Valdosta, GA 31601 Phone: 229-469-6932 Fax: 229-469-6933 | |
Angelina Beatty, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1701 N Patterson St, Valdosta, GA 31602 Phone: 229-244-4545 | |
Sharon Chester, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1701 N Patterson St, Valdosta, GA 31602 Phone: 229-244-4545 |