Individual
MRS. MEGAN W WALPOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
6325 SHANNON PKWY, SUITE D, UNION CITY, GA 30291-1538
(770) 964-1400
(770) 306-1343
Mailing address
131 CREEKSIDE DR, RUSTON, LA 71270-1766
(404) 680-0415
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
308663
LA
Other
Enumeration date
02/06/2009
Last updated
04/20/2021
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