Individual
MEGAN ANN DEMARIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3416 POOLE RD STE 120, RALEIGH, NC 27610-2918
(919) 902-7366
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2015-01155
NC
390200000X
Student in an Organized Health Care Education/Training Program
182661
NC
Other
Enumeration date
06/05/2012
Last updated
02/21/2024
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