Provider Demographics
NPI:1699021360
Name:NUNN, MEGAN HALL (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:HALL
Last Name:NUNN
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 CRIMSON DRIVE
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:GA
Mailing Address - Zip Code:30752
Mailing Address - Country:US
Mailing Address - Phone:706-657-3747
Mailing Address - Fax:706-657-3734
Practice Address - Street 1:112 CRIMSON DRIVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:GA
Practice Address - Zip Code:30752
Practice Address - Country:US
Practice Address - Phone:706-657-3747
Practice Address - Fax:706-657-3734
Is Sole Proprietor?:No
Enumeration Date:2012-07-31
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN35529183500000X
GA25825183500000X
SC12094183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist