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Individual
MRS. MEGAN WAY
Active
Individual
MRS. MEGAN WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001005659
NC
363AM0700X
Medical Physician Assistant
001005659
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101-330-1092
—
NC
Enumeration date
03/26/2015
Last updated
08/31/2020
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