# DR. JAMES THEROLD MEREDITH JR.

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1639173420
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | C5727 | AR | Yes |

## Other

- **Enumeration date:** 06/09/2005
- **Last updated:** 11/27/2023

## 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 |