Provider Demographics
NPI:1144541970
Name:WASHINGTON, MEGAN LYNN (DO)
Entity type:Individual
Prefix:DR
First Name:MEGAN
Middle Name:LYNN
Last Name:WASHINGTON
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1020 RIVER OAKS DR
Mailing Address - Street 2:STE 100
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9500
Mailing Address - Country:US
Mailing Address - Phone:601-326-8700
Mailing Address - Fax:601-936-2252
Practice Address - Street 1:1020 RIVER OAKS DR
Practice Address - Street 2:STE 100
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9500
Practice Address - Country:US
Practice Address - Phone:601-326-8700
Practice Address - Fax:601-936-2252
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-16
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MS24585208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics