Individual
MRS. MEGAN L OSBORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
308 COLISEUM DR STE 120, MACON, GA 31217-3859
(478) 745-6130
(478) 745-4443
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(478) 745-6130
(478) 745-4443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006751
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003132087A
—
GA
05
—
003132087B
—
GA
Enumeration date
03/07/2013
Last updated
08/24/2020
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