MRS. DALZELL GINN MCDILDA


Address: 606 Black River Rd, Georgetown, SC 29440-3304
Phone: 8436511938

MRS. DALZELL GINN MCDILDA (NPI# 1649412123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649412123
Entity Type Individual
Full Name MRS. DALZELL GINN MCDILDA
Credential M.ED.CCC-SLP
Practice Address 606 Black River Rd
Georgetown
SC 29440-3304
Practice Telephone 8436511938
Practice Fax Number 8436513669
Mailing Telephone 8436511938
Mailing Fax Number 8436513669
Enumeration Date 2009-03-31
Last Update Date 2009-03-31
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 2238 SC Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
SC SPEECH-LANGUAGE PATHOLOGIST LICENSE 2238 01

Office Location

Street Address 606 BLACK RIVER RD
City GEORGETOWN
State SC
Zip Code 29440-3304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952301731 Mary L Michael Nurse Anesthetist, Certified Registered 606 Black River Rd, Georgetown, SC 29440-3304 2005-07-22
1518489814 Pauline A Seebode Nurse Practitioner 606 Black River Rd, Georgetown, SC 29440-3304 2017-07-09
1588191134 Michael Patrick Stribos Emergency Medicine 606 Black River Rd, Georgetown, SC 29440-3304 2017-05-15
1104365857 Kristen Miller Nurse Anesthetist, Certified Registered 606 Black River Rd, Georgetown, SC 29440-3304 2017-02-14
1083096192 Adam Christopher Hughes Internal Medicine 606 Black River Rd, Georgetown, SC 29440 2015-06-25
1619364031 Agnes Edwards Social Worker 606 Black River Rd, Georgetown, SC 29440 2015-04-23
1700293081 Christopher Devault Specialist/Technologist 606 Black River Rd, Georgetown, SC 29440-3304 2014-07-17
1790070415 Lananh Nguyen Internal Medicine 606 Black River Rd, Georgetown, SC 29440-3304 2011-06-10
1255634069 Family Pharmacy At Gmh Pharmacy 606 Black River Rd, Georgetown, SC 29440-3304 2010-12-16
1699903898 Matthew Bernstein Pathology 606 Black River Rd, Georgetown, SC 29440-3304 2009-06-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003288788 Bartou Wilson Pharmacist 513 Rosemont St, Georgetown, SC 29440 2015-10-21
1538557780 Sc Pain and Spine Specialist Pain Medicine 230 S Fraser Street, Georgetown, SC 29440 2014-12-22
1326393745 Rose Carpenzano Social Worker 525 Lafayette Circle, Waccamaw Center for Mental Health, Georgetown, SC 29440 2012-07-23
1942575451 Surgical Specialists of Waccamaw, LLC Surgery 4367 Riverwood Drive, Suite 130, Murrells Inlet, SC 29440 2012-03-16
1619296654 Lisa Marie Holmes Durable Medical Equipment & Medical Supplies 1263 N. Frazer St., Georgetown, SC 29440 2010-05-28
1104156892 Georgetown Anesthesia Consultants, PC Anesthesiology 606 Blackriver Road, Georgetown, SC 29440 2010-01-04
1306018999 Heather Denise Sharpe Pharmacist 810 Elizabeth Street, Georgetown, SC 29440 2008-03-24
1083882054 Advanced Chiropractic Center Chiropractor 705 North Fraser Street, Advanced Chiropractic Center, Georgetown, SC 29440 2008-02-13
1295922284 Georgetown Memorial Hospital Clinic/Center 2361 North Frasier Street, Georgetown, SC 29440 2007-10-03
1114110863 Thomas Clifford Rowland Jr. Obstetrics & Gynecology 74 Swan Point Trail, Georgetown, SC 29440 2007-08-24
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1508483629 Katelyn Flynt Slone Speech-Language Pathologist 115 N Water St Ste 2, Georgetown, KY 40324-1334 2020-07-06
1487279188 Jessica Theresa Loera Speech-Language Pathologist 417 Windom Way, Georgetown, TX 78626-2390 2020-06-09
1366066722 Rebecca Mary Halley Speech-Language Pathologist 285 Se Inner Loop Ste 108, Georgetown, TX 78626-2139 2020-06-02
1093355307 Lucinda Clay Middaugh Speech-Language Pathologist 105 Prater Dr, Georgetown, KY 40324-8663 2020-01-14
1306327937 Andi Tucker Miller Speech-Language Pathologist 221 Bluestem Dr, Georgetown, TX 78633-5491 2018-08-22
1306324124 Suparna Chakraborti Speech-Language Pathologist 603 Lakeway Dr, Georgetown, TX 78628-2843 2018-08-02
1861922544 Valerie Paige Blakely Speech-Language Pathologist 1837 N Fraser St, Georgetown, SC 29440-7758 2017-06-15
1164953592 Rachael Beebe Henry Speech-Language Pathologist 327 Meeting St, Georgetown, SC 29440-3749 2017-03-27
1811351018 Bethany Dean Speech-Language Pathologist 911 Madrone Dr, Georgetown, TX 78628-4010 2016-04-13
1699137323 Patsy Wilson Speech-Language Pathologist 702 S Hamilton St, Georgetown, KY 40324-1504 2016-03-22
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City GEORGETOWN
Zip Code 29440

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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