Individual
MEGAN MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
602 N ACADIA RD, THIBODAUX, LA 70301-4823
(985) 493-4727
Mailing address
2104 CONNIE DR, DENHAM SPRINGS, LA 70726-4906
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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