| Miriam Michelle Peacock Beaber, MA CCC-SLP | |
|
4810 Brookside Ln, Myrtle Beach, SC 29579-3197 | |
| (703) 489-1867 | |
| Not Available |
| Full Name | Miriam Michelle Peacock Beaber |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 4810 Brookside Ln, 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 |
|---|---|---|---|
| 1316375298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 4672 (South Carolina) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366063000 PECOS PAC ID: 2163339722 Enrollment ID: O20200629001631 |
| Mailing Address | Practice Location Address |
|---|---|
| Miriam Michelle Peacock Beaber, MA CCC-SLP 4810 Brookside Ln, Myrtle Beach, SC 29579-3197 Ph: () - | Miriam Michelle Peacock Beaber, MA CCC-SLP 4810 Brookside Ln, Myrtle Beach, SC 29579-3197 Ph: (703) 489-1867 |
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 |