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Individual
SAMUEL GRANT MEYERS II
Active
Individual
SAMUEL GRANT MEYERS II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
104018
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306806179
CHAMPUS
NC
05
—
8101420
—
NC
Enumeration date
03/25/2006
Last updated
10/01/2014
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