Most Relevant Information
Provider Data
| NPI Number: | 1003547712 |
| Provider Name: | ELLEN MEGGINSON |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 12429 |
Most Important Dates
| Enumeration Date: | 06/22/2022 |
| Last Updated: | 06/22/2022 |
Provider Practice Location
616 DR CALVIN JONES HWY STE 212
WAKE FOREST
NC
275873106
Practice Location Phone/Fax
| Phone: | 9192915277 |
| Fax: |
Provider Mailing Location
616 DR CALVIN JONES HWY STE 212
WAKE FOREST
NC
275873106
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |