Kimberly W Megow
Adolescent Medicine
3526 Northcrossing Cir
Valdosta
, Georgia 31602-1067
Kimberly W Megow
Adolescent Medicine
3526 Northcrossing Cir
Valdosta
, Georgia 31602-1067
(229) 241-1047
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Kimberly W Megow
- 3526 Northcrossing Cir
- Valdosta, GA
- Zip : 31602-1067
- Fax : (229) 241-1047
- Phone : (229) 241-9500
Second Address
- Kimberly W Megow
- 3526 Northcrossing Cir
- Valdosta, GA
- Zip : 31602-1067
- Fax : (229) 241-1047
- Phone : (229) 241-9500
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 032494 | GA |
National Provider Identifier
| NPI | 1184661126 |
|---|---|
| Provider Name | Kimberly W Megow |
| First Address | Valdosta, GA 31602-1067 |
| Second Address | Valdosta, GA 31602-1067 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0048291A | (05) | GA |
| 85002640G | (05) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.