| Brenda Williams, | |
|
404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | |
| (770) 432-4444 | |
| Not Available |
| Full Name | Brenda Williams |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 404 King Springs Village Pkwy Se, Smyrna, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972976140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | SLP009086 (Georgia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1528419751 PECOS PAC ID: 2163339722 Enrollment ID: O20160830000411 |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1831619337 PECOS PAC ID: 2163339722 Enrollment ID: O20220916001457 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Williams, 1312 Halstead Blvd, Elizabeth City, NC 27909-5842 Ph: (252) 339-5537 | Brenda Williams, 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 Ph: (770) 432-4444 |
Tiana Sharell Bennett, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Lake Park Dr Se, Smyrna, GA 30080 Phone: 770-438-6928 | |
Alyssa Noelle Dewberry, M.ED, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3650 Highlands Pkwy Se, Smyrna, GA 30082 Phone: 678-305-9200 Fax: 678-305-9201 | |
Chelsea Chiarelli, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Lake Park Dr Se, Suite 102, Smyrna, GA 30080 Phone: 770-438-6928 | |
Christy Dixon, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1232 Kenway Cir Se, Smyrna, GA 30082 Phone: 678-472-0655 | |
Ms. Kawaii S Ball, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 438 Cumberland Sq Se, Smyrna, GA 30080 Phone: 985-215-2388 | |
Kidz Therapy Spot Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3040 Highlands Pkwy Se, Suite B, Smyrna, GA 30082 Phone: 678-305-9200 Fax: 678-305-9201 | |
Mrs. Kristina Marie Cheek, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2306 Mclean Chase Se, Smyrna, GA 30080 Phone: 217-553-7526 |