| Mrs Jessica P Graham, MED CCC-SLP | |
|
103 Kyndall Ln, Forsyth, GA 31029-8762 | |
| (478) 955-1204 | |
| Not Available |
| Full Name | Mrs Jessica P Graham |
|---|---|
| Gender | Female |
| Speciality | Qualified Speech Language Pathologist |
| Experience | 15 Years |
| Location | 103 Kyndall Ln, Forsyth, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578339297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP009104 (Georgia) | Primary |
| Provider Name | Forsyth Speech Therapy Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1083475560 PECOS PAC ID: 0941640452 Enrollment ID: O20240501002185 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jessica P Graham, MED CCC-SLP 57 S Lee St, Forsyth, GA 31029-1700 Ph: (478) 955-1204 | Mrs Jessica P Graham, MED CCC-SLP 103 Kyndall Ln, Forsyth, GA 31029-8762 Ph: (478) 955-1204 |
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