Duncan, Mary L.
Duncan, Mary L. is an sole proprietor health care provider with primary practice located at 4549 Revenue Trl , Ellenwood GA 30294-6413. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Duncan, Mary L. can be contacted via phone (404) 805-2875.Contact Information
Primary practice address
4549 Revenue Trl
Ellenwood GA 30294-6413
Phone: (404) 805-2875
Fax: (404) 738-2128
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 2202009271 | Virginia |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 146.011397 | Illinois |
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 6225 | Georgia |
Profile Details
| NPI number | 1669537643 |
|---|---|
| LBN Legal business name | Duncan, Mary L. |
| Credentials | CLINSCD CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jun 10th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669537643 | NPPES |
| Georgia | MEDICAID | 410111878F | |
| Georgia | MEDICAID | 410111878A |
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