Megan Marie McCullough Vieira, NP
Nurse Practitioner in Fayetteville, GA. Individual provider (NPI-1).
NPI number1679907331
StatusActive
Last updated in NPPESAug 29, 2013
Details
- NPI
- 1679907331
- Entity type
- Individual (NPI-1)
- Name
- Megan Marie McCullough Vieira
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2013
- Last updated
- Aug 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | RN191822 | GA | Yes |
Practice location
1255 Highway 54 WFayetteville, GA 30214-4526
Phone 800-893-9698
Mailing address
200 Corporate BlvdSuite 201
Lafayette, LA 70508-3870
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