Individual
CAROLYN BLANCHE MEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
113 WILDWOOD DR, BELTON, SC 29627-9687
(864) 940-9701
(864) 338-8760
Mailing address
PO BOX 864, BELTON, SC 29627-0864
(864) 940-9701
(864) 338-8760
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R00047949
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP0133
—
SC
Enumeration date
07/06/2006
Last updated
10/10/2007
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