Individual
MS. MARY CAROL MEGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1801 SUNSET DR FL 2, COLUMBIA, SC 29203
(803) 434-4100
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN637
SC
363LW0102X
Women's Health Nurse Practitioner
Primary
637
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA42543922
MEDICARE PTAN
SC
05
—
NP0272
—
SC
Enumeration date
04/12/2006
Last updated
06/19/2018
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