Individual
MEAGAN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
6002 GA 53, SUITE 100, DAWSONVILLE, GA 30534
(706) 265-8002
Mailing address
6002 HIGHWAY 53 E STE 100, DAWSONVILLE, GA 30534-6227
(706) 265-8002
(706) 429-0033
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN215371
GA
363LF0000X
Family Nurse Practitioner
RN215371
GA
Other
Enumeration date
09/01/2016
Last updated
11/15/2018
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