Provider Demographics
NPI:1679030522
Name:MABE, MEGAN LUREE (PA)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:LUREE
Last Name:MABE
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:455 PHILIP BLVD STE 140
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-8768
Mailing Address - Country:US
Mailing Address - Phone:770-962-3642
Mailing Address - Fax:770-962-3643
Practice Address - Street 1:7414 HODGSON MEMORIAL DR STE A
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2582
Practice Address - Country:US
Practice Address - Phone:770-962-3642
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-27
Last Update Date:2025-07-11
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical