Individual
MEGAN CHRISTINE BOUGHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
860 SUMMIT CROSSING PL STE 110, GASTONIA, NC 28054-2217
(704) 865-3937
(704) 865-8851
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2077
SC
152W00000X
Optometrist
Primary
2520
NC
Other
Enumeration date
07/03/2018
Last updated
09/19/2018
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