| Doctor Name: | MISS MEGAN WANINGER |
| NPI Number: | 1013301092 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 001005659 |
| Business Practice Address: | 9735 Kincey Ave Suite 100 Huntersville, NC - 280789118 |
| Business Phone Number: | 7045002332 |
| Business Fax Number: | 8885118009 |
| Mailing Address: | 9735 Kincey Ave, Suite 100 HUNTERSVILLE |
| State: | NC |
| Postal Code: | 280789118 |
| Phone Number: | 7045002332 |
| Fax Number: | 8885118009 |
| NPI Enumeration Date: | 03/26/2015 |
| NPI Last Update Date: | 04/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 001005659 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |