Individual
MEAGAN MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2601001456
MI
363A00000X
Physician Assistant
Primary
50.005595RX
OH
363AS0400X
Surgical Physician Assistant
50.005595RX
OH
Other
Enumeration date
05/15/2015
Last updated
11/03/2023
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