| Leslie Wilfong, | |
|
4703 Oleander Dr, Myrtle Beach, SC 29577 | |
| (843) 254-0722 | |
| Not Available |
| Full Name | Leslie Wilfong |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4703 Oleander Dr, Myrtle Beach, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194287946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 6356 (South Carolina) | Secondary |
| 235Z00000X | Speech-language Pathologist | 7357 (New Mexico) | Primary |
| Provider Name | Gallien Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1881768869 PECOS PAC ID: 6103808175 Enrollment ID: O20150921000853 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Wilfong, 4703 Oleander Dr, Myrtle Beach, SC 29577-5743 Ph: (843) 254-0722 | Leslie Wilfong, 4703 Oleander Dr, Myrtle Beach, SC 29577 Ph: (843) 254-0722 |
Mrs. Merridy Cole Andrews, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8703 Highway 17 Byp S, Suite I, Myrtle Beach, SC 29575 Phone: 843-457-1053 | |
Amanda Brooke Germer, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8703 Highway 17 Byp S Ste 1, Myrtle Beach, SC 29575 Phone: 843-457-1053 | |
Damien Poet, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 109 Mountain Ash Ln Unit C, Myrtle Beach, SC 29579 Phone: 843-575-8768 Fax: 843-913-8421 | |
Mrs. Erika Torres Harmon, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4201 Carolina Exchange Dr, Ste 102, Myrtle Beach, SC 29579 Phone: 843-236-9751 Fax: 866-571-1014 | |
Jessica Cox, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4761 Highway 501 Ste 1, Myrtle Beach, SC 29579 Phone: 843-455-7505 | |
Abby Nicole Moore, M.A., CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8703 Highway 17 Byp S Ste 1, Myrtle Beach, SC 29575 Phone: 843-457-1053 | |
Sheri Strasheim, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3620 Happy Woods Ct, Myrtle Beach, SC 29588 Phone: 843-293-2246 |