Healthcare Provider Details

I. General information

NPI: 1174783831
Provider Name (Legal Business Name): MEGAN OBRYAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2008
Last Update Date: 06/30/2026
Certification Date: 06/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FOUNTAIN SQ
CHATTANOOGA TN
37402-1306
US

IV. Provider business mailing address

1 FOUNTAIN SQ
CHATTANOOGA TN
37402-1306
US

V. Phone/Fax

Practice location:
  • Phone: 207-575-2211
  • Fax:
Mailing address:
  • Phone: 207-575-2211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: