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Organization
MEADOWS LUTCAVAGE SMITH VINTON FIDLER LONG & ARMSTRONG PA
Active
Organization
MEADOWS LUTCAVAGE SMITH VINTON FIDLER LONG & ARMSTRONG PA
Active
Other names
Eastern Carolina Oral & Maxillofacial Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN THOMAS MEADOWS (DOCTOR)
(910) 353-3535
Entity
Organization
Contact information
Practice address
46 OFFICE PARK DR, JACKSONVILLE, NC 28546-3217
(910) 353-3535
(910) 353-3535
Mailing address
46 OFFICE PARK DR, JACKSONVILLE, NC 28546-3217
(910) 353-3535
(910) 353-9754
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
3953
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02601
BCBS GROUP #
NC
01
—
744032
UCCI
—
05
—
8902601
—
NC
Enumeration date
01/02/2007
Last updated
07/29/2010
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