Provider Demographics
NPI:1033480793
Name:HEMANS, MEGGAN A
Entity Type:Individual
Prefix:MS
First Name:MEGGAN
Middle Name:A
Last Name:HEMANS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1902 SURREY TRL SE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-2214
Mailing Address - Country:US
Mailing Address - Phone:404-218-5122
Mailing Address - Fax:
Practice Address - Street 1:1902 SURREY TRL SE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-2214
Practice Address - Country:US
Practice Address - Phone:404-218-5122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-25
Last Update Date:2012-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator