Individual
DR. MEGAN BRINKWORTH VISSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2241 GREEN VALLEY RD, NEW ALBANY, IN 47150-4647
(502) 583-1749
(502) 329-8184
Mailing address
PO BOX 950132, LOUISVILLE, KY 40295-0132
(888) 980-8992
(405) 792-8910
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01083286A
IN
207N00000X
Dermatology Physician
53361
KY
207N00000X
Dermatology Physician
ME133213
FL
207R00000X
Internal Medicine Physician
TRN22679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300037166
—
IN
Enumeration date
04/18/2016
Last updated
04/21/2020
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