| Jaelyn Shantel Blackwell, | |
|
4405 Mall Blvd Ste 145, Union City, GA 30291-2044 | |
| (678) 590-2739 | |
| Not Available |
| Full Name | Jaelyn Shantel Blackwell |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4405 Mall Blvd Ste 145, Union City, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942118088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | T004632 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jaelyn Shantel Blackwell, 128 Memory Ln, Stockbridge, GA 30281-6263 Ph: (423) 790-8809 | Jaelyn Shantel Blackwell, 4405 Mall Blvd Ste 145, Union City, GA 30291-2044 Ph: (678) 590-2739 |
Andrea Davis Camp, M.ED., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8805 Lakecrest Way, Union City, GA 30291 Phone: 770-842-3848 |
Mr. Samuel Clifton, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5708 Barrington Run, Union City, GA 30291 Phone: 404-840-2310 Fax: 770-964-2356 |
Nina Howard, M.ED.,CCC-SLP/L Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4405 Mall Blvd Ste 140d, Union City, GA 30291 Phone: 678-590-2739 |