Individual
MELANIE HICKS TILLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
128 FRANCES MEEKS WAY, SUITE 9, RICHMOND HILL, GA 31324-3983
(912) 727-2321
Mailing address
2551 FORT MCALLISTER RD, RICHMOND HILL, GA 31324-4847
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
GA#SLP006977
GA
Other
Enumeration date
03/06/2013
Last updated
03/06/2013
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