Individual
MEGAN L ROACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.
Contact information
Practice address
401 W MARTINTOWN RD, NORTH AUGUSTA, SC 29841-3186
(803) 441-0025
(803) 441-0031
Mailing address
PO BOX 5545, AUGUSTA, GA 30916-5545
(803) 441-0025
(803) 441-0031
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1373
SC
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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