Individual
MEGAN VAUGHN BELANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, LAT, ATC
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
AL4176
FL
2255A2300X
Athletic Trainer
AT003485
GA
363A00000X
Physician Assistant
10209
GA
363A00000X
Physician Assistant
9114244
FL
363AS0400X
Surgical Physician Assistant
Primary
—
GA
Other
Enumeration date
07/28/2017
Last updated
06/17/2022
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