Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Speech Pathology Associates of South East Georgia, PC

Organization Speech-Language Pathologist · NPI 1083727325

Speech Pathology Associates of South East Georgia, PC is a Speech-Language Pathologist in Blackshear, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2976 US Highway 84
Blackshear, GA 31516-4601
Phone: (912) 807-8255
Fax: (912) 807-8256
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP003867 (GA)

Record details

NPI number1083727325
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shannon Bennett — Owner · (912) 449-9923
NPI enumeratedAugust 17, 2006
Last updated in NPPESJuly 29, 2009
Mailing address4493 Arch Trl, Blackshear, GA 31516-4210

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