MEDICARE: MEGAN KIGER 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
1	235Z00000X	Speech-Language Pathologist	SLP012032	GA

General Provider Information

NPI Number	:	1811633910
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN KIGER CCC-SLP

Provider Business Mailing Address
First Line	:	4600 ROSWELL RD
Second Line	:
City	:	SANDY SPRINGS
State	:	GA
Zip	:	30342-3075
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5871 GLENRIDGE DR STE 100
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30328-5304
Country	:	US
Telephone Number	:	770-415-9165
Fax Number	:

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

Provider Enumeration Date	:	05/11/2022
Last Update Date	:	05/11/2022

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Directions to “ MEGAN KIGER CCC-SLP” Practice Location

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