Individual
MR. GLEN A MEGRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
840 PINE ST STE 500, MACON, GA 31201-7530
(478) 633-8682
(478) 633-8698
Mailing address
840 PINE ST STE 500, MACON, GA 31201-7530
(478) 633-8682
(478) 633-8698
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004845
GA
Other
Enumeration date
08/21/2006
Last updated
11/13/2020
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