Individual
MEGHAN HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1220 SUMNER AVE, NORTH CHARLESTON, SC 29406-3822
(843) 225-1115
Mailing address
4975 LACROSS RD STE 200B, NORTH CHARLESTON, SC 29406-6531
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
23511
SC
363L00000X
Nurse Practitioner
23511
SC
363LF0000X
Family Nurse Practitioner
Primary
23511
SC
Other
Enumeration date
10/05/2020
Last updated
05/08/2025
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