Fluker, Tawanda
Fluker, Tawanda is an sole proprietor health care provider with primary practice located at 148 Windcroft Ct Nw , Acworth GA 30101-3783. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fluker, Tawanda can be contacted via phone (678) 732-5896.Contact Information
Primary practice address
148 Windcroft Ct Nw
Acworth GA 30101-3783
Phone: (678) 732-5896
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP005839 | Georgia |
Profile Details
| NPI number | 1336225309 |
|---|---|
| LBN Legal business name | Fluker, Tawanda |
| Credentials | M.A. CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 31st, 2006 |
| Last updated | Jul 26th, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336225309 | NPPES |
| Georgia | MEDICAID | 383330152D |
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