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NPI Code Detail

MEDICARE: WILLIAM CARL DEAL M.S., CCC-SLP

MEDICARE: WILLIAM CARL DEAL M.S., CCC-SLP
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
1235Z00000XSpeech-Language Pathologist6545NC
2235Z00000XSpeech-Language PathologistSLP007263GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2137K6OTHERNCBCBS NC
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508860339
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM CARL DEAL M.S., CCC-SLP
Provider Business Mailing Address
First Line : 365 S INDUSTRIAL BLVD
Second Line :
City : CALHOUN
State : GA
Zip : 30701-3075
Country : US
Telephone Number : 706-624-3000
Fax Number : 706-624-3001
Provider Business Practice Location Address
First Line : 365 S INDUSTRIAL BLVD
Second Line :
City : CALHOUN
State : GA
Zip : 30701-3075
Country : US
Telephone Number : 706-624-3000
Fax Number : 706-624-3001
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 10/22/2015

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Directions to “ WILLIAM CARL DEAL M.S., CCC-SLP” Practice Location

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