Individual
MEGAN E WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
270 HERITAGE WALK, WOODSTOCK, GA 30188-3875
(770) 618-9829
Mailing address
318 OXBOW ST, HOLLY SPRINGS, GA 30115-2140
(678) 313-3576
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN095378
GA
Other
Enumeration date
06/23/2025
Last updated
06/23/2025
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