Provider Demographics
NPI:1730463225
Name:MCCHESNEY, MEGHAN O'CONNOR (PA)
Entity Type:Individual
Prefix:MRS
First Name:MEGHAN
Middle Name:O'CONNOR
Last Name:MCCHESNEY
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:MEGHAN
Other - Middle Name:ALICE
Other - Last Name:O'CONNOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:5671 PEACHTREE DUNWOOD RD, NE
Mailing Address - Street 2:SUITE 520
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342
Mailing Address - Country:US
Mailing Address - Phone:678-843-5801
Mailing Address - Fax:678-843-7657
Practice Address - Street 1:5671 PEACHTREE DUNWOOD RD, NE
Practice Address - Street 2:SUITE 520
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342
Practice Address - Country:US
Practice Address - Phone:678-843-5801
Practice Address - Fax:678-843-7657
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-03
Last Update Date:2019-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA006186363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical