Provider Demographics
NPI:1184909954
Name:DINGERS, MEGAN RAE (PHARMD)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:RAE
Last Name:DINGERS
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 1:1745 CLAYTON CIR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30040-7861
Mailing Address - Country:US
Mailing Address - Phone:561-818-5444
Mailing Address - Fax:
Practice Address - Street 1:695 W CROSSVILLE RD
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-2500
Practice Address - Country:US
Practice Address - Phone:770-650-6692
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-12
Last Update Date:2018-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS46715183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist