Macy Young, | |
118 Azalea Rd Ste 11, Baxley, GA 31513-9197 | |
(912) 705-2855 | |
Not Available |
Full Name | Macy Young |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 118 Azalea Rd Ste 11, Baxley, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093348252 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP009988 (Georgia) | Primary |
Provider Name | Innovation Therapy And Wellness, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1770003840 PECOS PAC ID: 1153694781 Enrollment ID: O20170901003168 |
Mailing Address | Practice Location Address |
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Macy Young, Po Box 937, Mount Vernon, GA 30445-0937 Ph: () - | Macy Young, 118 Azalea Rd Ste 11, Baxley, GA 31513-9197 Ph: (912) 705-2855 |
Mrs. Hayley Sheppard White, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 355 Johns Ln, Baxley, GA 31513 Phone: 912-347-0047 | |
Lynsey Sellers Hutchinson, M.ED CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 278 S Main St, Baxley, GA 31513 Phone: 912-331-0846 Fax: 678-792-4894 | |
Lainey Odom, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 56 Floyd St, Baxley, GA 31513 Phone: 912-237-2195 |