Individual
MEGAN R JOINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
485 TOM HALL ST STE 101, FORT MILL, SC 29715-2353
(803) 228-7972
Mailing address
485 TOM HALL ST STE 101, FORT MILL, SC 29715-2353
(740) 566-4621
(740) 331-7676
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
83734
SC
207N00000X
Dermatology Physician
OS018067
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103202817-
—
PA
05
—
837349
—
SC
Enumeration date
05/17/2012
Last updated
12/06/2022
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