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NPI Code Detail

MEDICARE: MEGAN REBECCA HEALEY

MEDICARE: MEGAN REBECCA HEALEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantNC

General Provider Information

NPI Number : 1558150631
Entity Type Code : Individual
Provider Name (Legal Business Name) : MEGAN REBECCA HEALEY
Provider Business Mailing Address
First Line : 4416 SIMSBURY RD APT F
Second Line :
City : CHARLOTTE
State : NC
Zip : 28226-5086
Country : US
Telephone Number : 603-209-6112
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-355-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2025
Last Update Date : 12/22/2025

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Directions to “ MEGAN REBECCA HEALEY ” Practice Location

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