Individual
MRS. MEGAN ASHLEY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 CLUB LN STE 1, CONWAY, AR 72034-3681
(501) 329-1510
(501) 329-5697
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
(501) 852-1364
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-1338
AR
Other
Enumeration date
07/31/2023
Last updated
11/26/2024
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