Mr Taylor Lee Evans, CCC-SLP | |
3090 Premiere Pkwy Ste 400, Duluth, GA 30097-8915 | |
(877) 407-3422 | |
(877) 407-4329 |
Full Name | Mr Taylor Lee Evans |
---|---|
Gender | Male |
Speciality | Speech-language Pathologist |
Location | 3090 Premiere Pkwy Ste 400, Duluth, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326748534 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | SLP009287 (Georgia) | Primary |
Provider Name | Fox Rehabilitation Ga, Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1023544624 PECOS PAC ID: 6800162298 Enrollment ID: O20171031001120 |
Provider Name | Rww Outpatient Rehab Services Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1386285153 PECOS PAC ID: 8729333521 Enrollment ID: O20200129003179 |
Mailing Address | Practice Location Address |
---|---|
Mr Taylor Lee Evans, CCC-SLP 75 Magnolia St, Roswell, GA 30075-4381 Ph: (770) 645-1900 | Mr Taylor Lee Evans, CCC-SLP 3090 Premiere Pkwy Ste 400, Duluth, GA 30097-8915 Ph: (877) 407-3422 |
Ashia N Fayne, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4500 Satellite Blvd, Duluth, GA 30096 Phone: 678-993-5122 | |
Mrs. Andrea Aubry, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3483 Satellite Blvd, Suite 304, Duluth, GA 30096 Phone: 770-418-1778 Fax: 770-418-1778 | |
Stephanie Nicole Brangwin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4855 River Green Pkwy Ste 610, Duluth, GA 30096 Phone: 470-499-1116 | |
Ms. Michele Barri Pliskin, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3483 Satellite Blvd, Suite 304, Duluth, GA 30096 Phone: 770-418-1778 | |
Sydney Nicole Floyd, MACF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2845 Summercrest Ln, Duluth, GA 30096 Phone: 678-271-6978 Fax: 678-280-6766 | |
La'toya Williams, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1810 Peachtree Industrial Blvd Ste 231, Duluth, GA 30097 Phone: 678-505-0447 | |
Vanessa Risingmoon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4500 Satellite Blvd, Ste 2250, Duluth, GA 30096 Phone: 800-381-2195 Fax: 888-381-0822 |