Individual
MRS. MEGHAN LYNN SUMMERALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
600 PROFESSIONAL DR, LAWRENCEVILLE, GA 30045-7651
(678) 312-3317
Mailing address
1000 PROFESSIONAL BLVD, LAWRENCEVILLE, GA 30045
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4843
GA
Other
Enumeration date
08/09/2006
Last updated
09/26/2013
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