Doctor Name: | GEORGE DICOLA |
NPI Number: | 1003878620 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ST |
License Number: | 845 |
Business Practice Address: | 1903 S Hawthorne Rd Edwin H. Martinat Comprehensive Rehabilitation Center Winston-salem, NC - 271033916 |
Business Phone Number: | 3367186700 |
Business Fax Number: | |
Mailing Address: | 2000 Frontis Plaza Blvd Ste 200, (attn) Forsyth Medical Group WINSTON SALEM |
State: | NC |
Postal Code: | 271035616 |
Phone Number: | 3362772435 |
Fax Number: | 3362779275 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |