| Mpm Creative, Llc | |
|
1560 Hewatt Rd, Lilburn, GA 30047 | |
| (678) 467-7732 | |
| Not Available |
| Full Name | Mpm Creative, Llc |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 1560 Hewatt Rd, Lilburn, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932619285 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP008511 (Georgia) | Primary |
| 235Z00000X | Speech-language Pathologist | 5593 (South Carolina) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mpm Creative, Llc 1560 Hewatt Rd Sw, Lilburn, GA 30047-1922 Ph: (678) 467-7732 | Mpm Creative, Llc 1560 Hewatt Rd, Lilburn, GA 30047 Ph: (678) 467-7732 |
Kimberly Marie Hagan Ulrich, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4757 Habersham Rdg Sw, Lilburn, GA 30047 Phone: 770-366-5678 | |
Mrs. Tracy Leigh Randolph, M.S. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4129 Shady Dr Nw, Lilburn, GA 30047 Phone: 770-925-9543 | |
Ms. Angela Marie Walls, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5375 Five Forks Trickum Rd Sw, Lilburn, GA 30047 Phone: 470-545-6228 | |
Brandy Mack Harris, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4505 Brandon Dr Sw, Lilburn, GA 30047 Phone: 404-314-9375 | |
Diana M Boswell, MCD, CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4191 Wash Lee Ct Sw, Lilburn, GA 30047 Phone: 770-935-7613 | |
Sandra Lenora Joseph-thomas, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1300 Pond Springs Trce Sw, Lilburn, GA 30047 Phone: 301-452-7485 | |
Leigh Katherine Stewart, MS, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 5824 Golden West Trl Sw, Lilburn, GA 30047 Phone: 678-428-3046 |