Doctor Name: | MRS. MEGAN L OSBORNE |
NPI Number: | 1134460637 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 006751 |
Business Practice Address: | 747 South 8th Street Suite C Griffin, GA - 302244880 |
Business Phone Number: | 7702281767 |
Business Fax Number: | 7702287562 |
Mailing Address: | 1835 Savoy Dr, Suite 300 ATLANTA |
State: | GA |
Postal Code: | 303411072 |
Phone Number: | 7704953396 |
Fax Number: | 7704952307 |
NPI Enumeration Date: | 03/07/2013 |
NPI Last Update Date: | 05/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | 006751 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |