Individual
MEGAN THORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 ALLISON AVE SW APT 5, ROANOKE, VA 24016-4547
(206) 940-0549
Mailing address
502 ALLISON AVE SW APT 5, ROANOKE, VA 24016-4547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/16/2020
Last updated
05/16/2020
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