Individual
MEGAN SHANE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4425 PAULSEN ST, SAVANNAH, GA 31405-3662
(912) 355-6615
(912) 351-0645
Mailing address
4425 PAULSEN ST, SAVANNAH, GA 31405-3662
(912) 355-6615
(912) 351-0645
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0024167195
VA
363L00000X
Nurse Practitioner
20667
SC
363L00000X
Nurse Practitioner
AC001046
MD
363L00000X
Nurse Practitioner
R213006-2
MN
363L00000X
Nurse Practitioner
Primary
RN263330
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417020769
—
VA
Enumeration date
11/16/2006
Last updated
03/17/2018
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