Individual
DR. MEGAN R WILGUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
200 12TH ST W STE A, TIFTON, GA 31794-3900
(229) 382-5015
Mailing address
1665 CARPENTER RD S APT E7, TIFTON, GA 31793-7975
(727) 242-3579
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN123861
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2025
Last updated
07/15/2025
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