Doctor Name: | MEGAN D STUCKEY |
NPI Number: | 1093156341 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP-C |
License Number: | RN199743 |
Business Practice Address: | 315 Fluker St Thomson, GA - 308242108 |
Business Phone Number: | 7065951090 |
Business Fax Number: | 7065956010 |
Mailing Address: | 315 Fluker St, THOMSON |
State: | GA |
Postal Code: | 308242108 |
Phone Number: | 7065951090 |
Fax Number: | 7065956010 |
NPI Enumeration Date: | 07/16/2013 |
NPI Last Update Date: | 02/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | RN199743 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |