Provider Demographics
NPI:1467641514
Name:MILNER, SHARON THOMAS (CCC/SLP)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:THOMAS
Last Name:MILNER
Suffix:
Gender:F
Credentials:CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 THOMASBORO RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY FORD
Mailing Address - State:GA
Mailing Address - Zip Code:30455-7316
Mailing Address - Country:US
Mailing Address - Phone:912-863-5815
Mailing Address - Fax:912-863-5815
Practice Address - Street 1:374 THOMASBORO RD
Practice Address - Street 2:
Practice Address - City:ROCKY FORD
Practice Address - State:GA
Practice Address - Zip Code:30455-7316
Practice Address - Country:US
Practice Address - Phone:912-863-5815
Practice Address - Fax:912-863-5815
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA4374235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist