Provider Demographics
NPI:1891915096
Name:MERCHAN, JOY CAROLINE (MED, CCC-SLP & LPN)
Entity Type:Individual
Prefix:MRS
First Name:JOY
Middle Name:CAROLINE
Last Name:MERCHAN
Suffix:
Gender:F
Credentials:MED, CCC-SLP & LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:1255 POND SPRINGS TRCE SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-1992
Mailing Address - Country:US
Mailing Address - Phone:404-422-0178
Mailing Address - Fax:678-783-7925
Practice Address - Street 1:1255 POND SPRINGS TRCE SW
Practice Address - Street 2:
Practice Address - City:LILBURN
Practice Address - State:GA
Practice Address - Zip Code:30047-1992
Practice Address - Country:US
Practice Address - Phone:404-422-0178
Practice Address - Fax:678-783-7925
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2023-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPN060809164W00000X
GASLP005915235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
No164W00000XNursing Service ProvidersLicensed Practical Nurse