Organization
MPM CREATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCELLA PAIGE MEREDITH MM, MS, CCC-SLP (OWNER/ SPEECH LANGUAGE PATHOLOGIST)
(678) 467-7732
Entity
Organization
Contact information
Practice address
1560 HEWATT RD, LILBURN, GA 30047
(678) 467-7732
Mailing address
1560 HEWATT RD SW, LILBURN, GA 30047-1922
(678) 467-7732
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
5593
SC
235Z00000X
Speech-Language Pathologist
Primary
SLP008511
GA
Other
Enumeration date
10/01/2017
Last updated
07/21/2022
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