Provider Demographics
NPI:1942750062
Name:MCPHERSON, MEGAN TAYLER
Entity Type:Individual
Prefix:MS
First Name:MEGAN
Middle Name:TAYLER
Last Name:MCPHERSON
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 1:5384 CHAVERSHAM LN
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-2167
Mailing Address - Country:US
Mailing Address - Phone:770-241-1383
Mailing Address - Fax:
Practice Address - Street 1:5384 CHAVERSHAM LN
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-2167
Practice Address - Country:US
Practice Address - Phone:770-241-1383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer