MEDICARE: LAUREN STANCIL WHEELER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	PCET004523	GA

General Provider Information

NPI Number	:	1225962905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN STANCIL WHEELER

Provider Business Mailing Address
First Line	:	938 ELLIS LN
Second Line	:
City	:	EVANS
State	:	GA
Zip	:	30809-5528
Country	:	US
Telephone Number	:	762-215-6376
Fax Number	:

Provider Business Practice Location Address
First Line	:	4405 EVANS TO LOCKS RD
Second Line	:
City	:	EVANS
State	:	GA
Zip	:	30809-3603
Country	:	US
Telephone Number	:	706-854-1598
Fax Number	:	706-854-8136

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/09/2026
Last Update Date	:	06/09/2026

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1235131525 — DENNIS A WILLIAMS MD
Practice Location Address:

4409 EVANS TO LOCKS RD
EVANS, GA
30809-3603

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1134121411 — DR. ROBERT L HARMON M.D.
Practice Location Address:

4409 EVANS TO LOCKS RD
EVANS, GA
30809-3603

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1437176419 — PAIN MANAGEMENT & REHABILITATION SPECIALISTS, PC
Practice Location Address:

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EVANS, GA
30809-3603

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Practice Fax: 706-396-7676

1023035003 — NATHAN H. BRANDON, MD, LLC
Practice Location Address:

4409 EVANS TO LOCKS RD
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30809-3603

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1487745261 — GEORGIA-CAROLINA MOBILITY, INC.
Practice Location Address:

4405 EVANS TO LOCKS RD , SUITE A
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1104999325 — MRS. KRISTIN MARIE COUTURE
Practice Location Address:

4405 EVANS TO LOCKS RD STE C
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Practice Phone: 706-854-1598
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Directions to “ LAUREN STANCIL WHEELER ” Practice Location

Language	Start Address	Practice Location

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