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Individual
DR. JAMES THEROLD MEREDITH JR.
Active
Individual
DR. JAMES THEROLD MEREDITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5727
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080077472
TRICARE
AR
05
—
106002001
—
AR
05
—
106020002
—
AR
01
—
13346000000
QUALCHOICE
AR
01
—
172348500
US DEPT OF LABOR WC
AR
01
—
4032439
AETNA
AR
01
—
P01915
NOVASYS
AR
Enumeration date
06/09/2005
Last updated
11/27/2023
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