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NPI Code Detail

MEDICARE: MRS. MEREDITH SUGG ANGE CCC-SLP

MEDICARE: MRS. MEREDITH SUGG ANGE 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 Pathologist10802NC
2235Z00000XSpeech-Language PathologistSLP19233CA

General Provider Information

NPI Number : 1790067502
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MEREDITH SUGG ANGE CCC-SLP
Provider Business Mailing Address
First Line : 600A VILLAGE WALK DR
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-4438
Country : US
Telephone Number : 919-285-2157
Fax Number :
Provider Business Practice Location Address
First Line : 600A VILLAGE WALK DR
Second Line :
City : HOLLY SPRINGS
State : NC
Zip : 27540-4438
Country : US
Telephone Number : 919-285-2157
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2011
Last Update Date : 09/18/2024

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Directions to “ MRS. MEREDITH SUGG ANGE CCC-SLP” Practice Location

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