Basic Information
Provider Information
NPI: 1548522329
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STRAUGHAN
FirstName: MEGAN
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
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OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2000 PERIMETER PARK DR STE 200
Address2:  
City: MORRISVILLE
State: NC
PostalCode: 275608442
CountryCode: US
TelephoneNumber: 9842154110
FaxNumber:  
Practice Location
Address1: 515 THOMPSON ST STE B
Address2:  
City: EDEN
State: NC
PostalCode: 272885040
CountryCode: US
TelephoneNumber: 3366239118
FaxNumber: 3366231902
Other Information
ProviderEnumerationDate: 06/08/2012
LastUpdateDate: 08/20/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/20/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X34842SCN Allopathic & Osteopathic PhysiciansSurgery 
208M00000X2020-02464NCN Allopathic & Osteopathic PhysiciansHospitalist 
208600000X2020-02464NCY Allopathic & Osteopathic PhysiciansSurgery 

No ID Information.


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