Individual
MEESHA B GWAN-NULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2737 WARM SPRINGS RD BLDG BC, COLUMBUS, GA 31904-6859
(706) 653-2255
(706) 653-2329
Mailing address
16 PHYSICIAN DR, CLYDE, NC 28721-8486
(828) 456-9836
(828) 452-9814
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
081189
GA
207R00000X
Internal Medicine Physician
2009028452
MO
207R00000X
Internal Medicine Physician
2015-01372
NC
207R00000X
Internal Medicine Physician
MD064633L
PA
Other
Enumeration date
04/10/2006
Last updated
10/15/2018
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