Provider Demographics
NPI:1962216986
Name:TULLOS, MARGARET GENEVIEVE BELL (SLP MS-CCC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:GENEVIEVE BELL
Last Name:TULLOS
Suffix:
Gender:F
Credentials:SLP MS-CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5060 BAYWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-4243
Mailing Address - Country:US
Mailing Address - Phone:865-582-1137
Mailing Address - Fax:
Practice Address - Street 1:3050 ROYAL BLVD S STE 105
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-4484
Practice Address - Country:US
Practice Address - Phone:865-582-1137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA14321408235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist