Most Relevant Information
Provider Data
| NPI Number: | 1003469677 |
| Provider Name: | MEGAN IRENE SMITH NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN273431 |
Most Important Dates
| Enumeration Date: | 07/22/2019 |
| Last Updated: | 07/22/2024 |
Provider Practice Location
1400 NORTHSIDE FORSYTH DR STE 240
CUMMING
GA
300416017
Practice Location Phone/Fax
| Phone: | 7708440877 |
| Fax: | 7708440891 |
Provider Mailing Location
1400 NORTHSIDE FORSYTH DR STE 240
CUMMING
GA
300416017
Provider Mailing Phone/Fax
| Phone: | 7708440877 |
| Fax: | 7708440891 |