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Individual

MS. MARY CAROL MEGGS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

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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