MEDICARE: MRS. MEGAN CARPENTER WRIGHT FNP-C

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
1	363LF0000X	Family Nurse Practitioner	RN285234	GA

General Provider Information

NPI Number	:	1801545793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MEGAN CARPENTER WRIGHT FNP-C

Provider Business Mailing Address
First Line	:	353 N BROOKE DR
Second Line	:
City	:	CANTON
State	:	GA
Zip	:	30115-3010
Country	:	US
Telephone Number	:	470-684-9773
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CHURCHILL CT STE 105
Second Line	:
City	:	WOODSTOCK
State	:	GA
Zip	:	30188-6882
Country	:	US
Telephone Number	:	404-420-2728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2022
Last Update Date	:	10/09/2025

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