Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN275146 | GA |
NPI | 1023579364 |
---|---|
Provider Name | Megan Nicole Benefield |
First Address | Sandy Springs, GA 30328-4298 |
Second Address | Suwanee, GA 30024-1048 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2019 |
Last Update Date | 03/08/2021 |