Provider Demographics
NPI:1427759513
Name:DEES, MEGANN PRICE (PA-C)
Entity type:Individual
Prefix:
First Name:MEGANN
Middle Name:PRICE
Last Name:DEES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2080 S FRONTAGE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:VICKSBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39180-5883
Mailing Address - Country:US
Mailing Address - Phone:601-262-1000
Mailing Address - Fax:
Practice Address - Street 1:2080 S FRONTAGE RD STE 100
Practice Address - Street 2:
Practice Address - City:VICKSBURG
Practice Address - State:MS
Practice Address - Zip Code:39180-5883
Practice Address - Country:US
Practice Address - Phone:601-262-1000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSPA00710363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant