Individual
MS. MEGAN LOUISE FENCEROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
600 PARKWAY N, NEWNAN, GA 30265-8000
(770) 400-7186
Mailing address
600 PARKWAY N, NEWNAN, GA 30265-8000
(770) 400-7186
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
207428
GA
Other
Enumeration date
08/06/2013
Last updated
04/15/2014
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