Most Relevant Information
Provider Data
| NPI Number: | 1003030388 |
| Provider Name: | ANDREA THOMAS-INGRAM MS CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP003357 |
Most Important Dates
| Enumeration Date: | 04/11/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
348 HILLRIDGE CV
LIZELLA
GA
310523633
Practice Location Phone/Fax
| Phone: | 4789359433 |
| Fax: | 4789359651 |
Provider Mailing Location
348 HILLRIDGE CV
LIZELLA
GA
310523633
Provider Mailing Phone/Fax
| Phone: | 4789359433 |
| Fax: | 4789359651 |