Individual
MEGAN ELIZABETH WALLACE MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
172 COUNTY ROAD 63, ROANOKE, AL 36274-6106
(706) 957-7154
Mailing address
172 COUNTY ROAD 63, ROANOKE, AL 36274-6106
(706) 957-7154
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP001928
GA
Other
Enumeration date
12/19/2023
Last updated
12/19/2023
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