Individual
CAROLLYNN MCMAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, CCC-SLP
Contact information
Practice address
5058 BRITTON DR, VILLA RICA, GA 30180-8620
(770) 366-9926
Mailing address
5058 BRITTON DR, VILLA RICA, GA 30180-8620
(770) 366-9926
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP003428
GA
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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