Individual
MAEGAN PRUITT DAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
28425
SC
363LF0000X
Family Nurse Practitioner
28425
SC
Other
Enumeration date
08/19/2024
Last updated
01/08/2026
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