Most Relevant Information
Provider Data
| NPI Number: | 1003002247 |
| Provider Name: | KRYSTAL TEMPLES GAITHER MED. CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP005735 |
Most Important Dates
| Enumeration Date: | 09/21/2007 |
| Last Updated: | 03/25/2019 |
Provider Practice Location
736 HIGHLAND CIR
NASHVILLE
GA
316395807
Practice Location Phone/Fax
| Phone: | 2296860771 |
| Fax: |
Provider Mailing Location
736 HIGHLAND CIR
NASHVILLE
GA
316395807
Provider Mailing Phone/Fax
| Phone: | 2296860771 |
| Fax: |