Provider Demographics
NPI:1073845269
Name:MANN, MEGAN JAUDON (MS PA-C)
Entity Type:Individual
Prefix:MRS
First Name:MEGAN
Middle Name:JAUDON
Last Name:MANN
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Gender:F
Credentials:MS PA-C
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Mailing Address - Street 1:6624 FANNIN ST
Mailing Address - Street 2:1800
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77030-2312
Mailing Address - Country:US
Mailing Address - Phone:713-797-1144
Mailing Address - Fax:713-425-3079
Practice Address - Street 1:3400C OLD MILTON PARKWAY
Practice Address - Street 2:270
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005
Practice Address - Country:US
Practice Address - Phone:770-442-1911
Practice Address - Fax:770-663-8905
Is Sole Proprietor?:No
Enumeration Date:2010-02-12
Last Update Date:2013-08-12
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Provider Licenses
StateLicense IDTaxonomies
TX363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant