Provider Demographics
NPI:1255990636
Name:HEDGER, MEAGAN ROSE
Entity type:Individual
Prefix:
First Name:MEAGAN
Middle Name:ROSE
Last Name:HEDGER
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 1:5039 PORT ST JOE ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32526-5093
Mailing Address - Country:US
Mailing Address - Phone:850-490-0897
Mailing Address - Fax:
Practice Address - Street 1:5039 PORT ST JOE ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32526-5093
Practice Address - Country:US
Practice Address - Phone:850-490-0897
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-10
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes176B00000XOther Service ProvidersMidwifeGroup - Single Specialty
No374J00000XNursing Service Related ProvidersDoula