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NPI Code Detail

MEDICARE: MARLA MANN

MEDICARE: MARLA MANN
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
1171400000XHealth & Wellness Coach
2235Z00000XSpeech-Language PathologistSLP006675GA

General Provider Information

NPI Number : 1023236429
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARLA MANN
Provider Business Mailing Address
First Line : 1389 WEBER INDUSTRIAL DR
Second Line :
City : CUMMING
State : GA
Zip : 30041-6468
Country : US
Telephone Number : 678-570-8617
Fax Number :
Provider Business Practice Location Address
First Line : 1389 WEBER INDUSTRIAL DR
Second Line :
City : CUMMING
State : GA
Zip : 30041-6468
Country : US
Telephone Number : 770-886-6204
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 10/06/2025

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Directions to “ MARLA MANN ” Practice Location

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