Provider Demographics
NPI:1043358641
Name:LAWSON, MEG ANN (DC)
Entity type:Individual
Prefix:DR
First Name:MEG
Middle Name:ANN
Last Name:LAWSON
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:775 GAINES SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-3129
Mailing Address - Country:US
Mailing Address - Phone:706-546-4488
Mailing Address - Fax:706-546-4486
Practice Address - Street 1:775 GAINES SCHOOL RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-3129
Practice Address - Country:US
Practice Address - Phone:706-546-4488
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-03
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR005286111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
5825007243OtherTIN
GAU67672Medicare UPIN
GA35ZCDVZMedicare ID - Type Unspecified