Individual
DR. MEGHA SUBBARAO HEGDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2339 LAKE HARBIN RD, MORROW, GA 30260-1905
(770) 961-1222
(770) 961-6121
Mailing address
123 GOLF TERRACE DR, STOCKBRIDGE, GA 30281-6363
(404) 918-0086
(770) 389-9729
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN012940
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100561
AVESIS
GA
01
—
1784065
UNITED CONCORDIA
—
01
—
9181248
DORAL
GA
Enumeration date
07/29/2006
Last updated
07/08/2007
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