Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | CHIR005286 | GA |
NPI | 1043358641 |
---|---|
Provider Name | Dr. Meg Ann Lawson |
First Address | Athens, GA 30605-3129 |
Second Address | Athens, GA 30605-3129 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2007 |
Last Update Date | 05/04/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
5825007243 | TIN (01) | |
U67672 | (02) | GA |