Provider Demographics
NPI:1497491138
Name:MEGOW, CHRISTINA W
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:W
Last Name:MEGOW
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 1:5 MEADOW RUN CIR APT 5G VALDOSTA, GA 31602
Mailing Address - Street 2:5 MEADOW RUN CIRCLE APT 5G VALDOSTA, GA 31602
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602
Mailing Address - Country:US
Mailing Address - Phone:122-946-0929
Mailing Address - Fax:
Practice Address - Street 1:5 MEADOW RUN CIR APT 5G VALDOSTA, GA 31602
Practice Address - Street 2:5 MEADOW RUN CIRCLE APT 5G VALDOSTA, GA 31602
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602
Practice Address - Country:US
Practice Address - Phone:294-609-2942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical