Individual
MEGAN E MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
391 S 1ST ST, JESUP, GA 31545-1132
(912) 427-8433
Mailing address
2730 US HIGHWAY 441 N, PEARSON, GA 31642-4839
(912) 422-4839
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN211371
GA
Other
Enumeration date
12/14/2015
Last updated
01/29/2016
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