Individual
MEAGAN ELIZABETH GREGORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6840 GLENWOOD AVE, RALEIGH, NC 27612-7133
(919) 781-8604
Mailing address
589 CANVAS DR, WAKE FOREST, NC 27587-6144
(704) 516-8895
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5010148
NC
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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