Provider Demographics
NPI:1538429055
Name:JOINT, MEGAN R (DO)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:R
Last Name:JOINT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:485 TOM HALL ST STE 101
Mailing Address - Street 2:
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29715-2353
Mailing Address - Country:US
Mailing Address - Phone:740-566-4621
Mailing Address - Fax:740-331-7676
Practice Address - Street 1:485 TOM HALL ST STE 101
Practice Address - Street 2:
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29715-2353
Practice Address - Country:US
Practice Address - Phone:803-228-7972
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS018067207N00000X
SC83734207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103202817-Medicaid
SC837349Medicaid
WVWV7253AOtherMEDICARE PTAN