Healthcare Provider Details

I. General information

NPI: 1346155447
Provider Name (Legal Business Name): EMILY MAGES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2607 WOODRUFF RD STE E
SIMPSONVILLE SC
29681-3625
US

IV. Provider business mailing address

2607 WOODRUFF RD STE E
SIMPSONVILLE SC
29681-3625
US

V. Phone/Fax

Practice location:
  • Phone: 803-447-8877
  • Fax: 855-252-9912
Mailing address:
  • Phone: 803-447-8877
  • Fax: 855-252-9912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3885
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: