Individual
MEGAN M WANDURRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2750 OWENS RD SW, STE A, CONYERS, GA 30094-3991
(678) 413-4644
(678) 413-4624
Mailing address
2750 OWENS DR, STE A, CONYERS, GA 30094
(678) 413-4644
(678) 413-4624
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN203584
GA
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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