| Katie Childers, | |
|
225 Wes Park Dr, Perry, GA 31069-4829 | |
| (478) 987-1610 | |
| (973) 965-4580 |
| Full Name | Katie Childers |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 225 Wes Park Dr, Perry, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891269528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | PCET002855 (Georgia) | Primary |
| Provider Name | Southwest Georgia Rehab Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902120587 PECOS PAC ID: 6204966740 Enrollment ID: O20100610000420 |
| Mailing Address | Practice Location Address |
|---|---|
| Katie Childers, 225 Wes Park Dr, Perry, GA 31069-4829 Ph: (478) 987-1610 | Katie Childers, 225 Wes Park Dr, Perry, GA 31069-4829 Ph: (478) 987-1610 |
Ms. Tiffany Scavo Bright, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 902 Northside Dr, Perry, GA 31069 Phone: 478-987-1610 Fax: 973-965-4580 | |
Ashley Jamison Lance Machen, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2263 Us Highway 341 S, Perry, GA 31069 Phone: 478-251-3708 | |
Kayde Campbell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 902 Northside Dr, Perry, GA 31069 Phone: 478-987-1610 Fax: 973-965-4580 | |
Angela Christine Sanders, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 225 Wes Park Dr, Perry, GA 31069 Phone: 478-987-1610 Fax: 973-965-4580 | |
The Speech Path, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 902 Northside Dr, Perry, GA 31069 Phone: 478-987-1610 Fax: 973-965-4580 | |
Courtney A Cadwell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 902 Northside Dr, Perry, GA 31069 Phone: 478-987-1610 Fax: 973-965-4580 | |
Lorrie Anne Mccrary, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 225 Wes Park Dr, Perry, GA 31069 Phone: 478-987-1610 Fax: 973-965-4580 |