| Mark Candler Doyal, CCC-SLP | |
|
4005 S Cobb Dr Se, Smyrna, GA 30080-6307 | |
| (513) 545-6412 | |
| Not Available |
| Full Name | Mark Candler Doyal |
|---|---|
| Gender | Male |
| Speciality | Speech-language Pathologist |
| Location | 4005 S Cobb Dr Se, Smyrna, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821854001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP007688 (Georgia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Candler Doyal, CCC-SLP 2109 Wyeth Walk, Marietta, GA 30062-6048 Ph: (404) 399-9366 | Mark Candler Doyal, CCC-SLP 4005 S Cobb Dr Se, Smyrna, GA 30080-6307 Ph: (513) 545-6412 |
Tiana Sharell Bennett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Lake Park Dr Se, Smyrna, GA 30080 Phone: 770-438-6928 | |
Jocelyn Ordaz, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3499 S Cobb Dr Se, Smyrna, GA 30080 Phone: 678-561-6735 | |
Alyssa Noelle Dewberry, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3650 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 678-305-9200 Fax: 678-305-9201 | |
Chelsea Chiarelli, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Lake Park Dr Se, Suite 102, Smyrna, GA 30080 Phone: 770-438-6928 | |
Christy Dixon, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1232 Kenway Cir Se, Smyrna, GA 30082 Phone: 678-472-0655 | |
Ms. Kawaii S Ball, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 438 Cumberland Sq Se, Smyrna, GA 30080 Phone: 985-215-2388 | |
Kidz Therapy Spot Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3040 Highlands Pkwy Se, Suite B, Smyrna, GA 30082 Phone: 678-305-9200 Fax: 678-305-9201 |