Individual
MEGAN RAYNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342-1605
(443) 307-7234
Mailing address
643 CARLETON TRL, BEL AIR, MD 21014-2854
(443) 307-7234
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
95853
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
TX
Other
Enumeration date
04/14/2020
Last updated
09/26/2023
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