MEDICARE: LINDSAY C. MCFEELEY

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	SLP004807	GA

General Provider Information

NPI Number	:	1437639721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY C. MCFEELEY

Provider Business Mailing Address
First Line	:	790 OAK TRAIL DR
Second Line	:
City	:	MARIETTA
State	:	GA
Zip	:	30062-7502
Country	:	US
Telephone Number	:	770-212-2170
Fax Number	:	770-783-8639

Provider Business Practice Location Address
First Line	:	7440 HIGHWAY 92
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30189-5235
Country	:	US
Telephone Number	:	770-212-2170
Fax Number	:	770-783-8639

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

Provider Enumeration Date	:	08/16/2018
Last Update Date	:	08/16/2018

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Directions to “ LINDSAY C. MCFEELEY ” Practice Location

Language	Start Address	Practice Location

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