Individual
MEGAN DIANE MIKKELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 HERBERT CT, GREENVILLE, NC 27834-3736
(252) 744-3850
(252) 744-3894
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2023-03018
NC
207Q00000X
Family Medicine Physician
310140
NC
Other
Enumeration date
03/23/2022
Last updated
08/25/2025
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