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Meagan Elise Mckinnon, PA-C
Specialist in Moultrie, Georgia
NPI 1285916437

Meagan Elise Mckinnon is a Specialist based in Moultrie, GA. Meagan Elise Mckinnon practices in Moultrie, GA and has the professional credentials of PA-C. The NPI Number for Meagan Elise Mckinnon is 1285916437 and holds a License No. 008711 (Georgia).

The current practice location address for Meagan Elise Mckinnon is 4 Live Oak Ct, Moultrie, GA and can be reached out via phone at 229-785-2400 and via fax at 229-502-9793.

Location: 4 Live Oak Ct, Moultrie, GA, 31776-2876
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285916437
Provider Name
Meagan Elise Mckinnon
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
4 Live Oak Ct, Moultrie, GA, 31776-2876
Phone Number
229-785-2400
Fax Number
229-502-9793
Provider Enumeration Date
09/14/2011
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
008711 01 GA LICENSE
institution
Provider Business Practice Location Address Details
Address
4 Live Oak Ct
City
Moultrie
State
Georgia
Zip
31768-6783
Phone Number
229-785-2400
Fax Number
229-502-9793
person
Provider Business Mailing Address Details
Address
4 Live Oak Ct
City
Moultrie
State
Georgia
Zip
31768-6783
Phone Number
229-785-2400
Fax Number
229-502-9793
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
AT001938 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
008711 (Georgia)
Definition
Definition to come...
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