# SAMUEL G. MEREDITH MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** samuel g. meredith md pa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790257442
- **Authorized official:** JANET M SKILLERN RN (OFFICE MANAGER)
- **Authorized official phone:** (870) 735-4400

## Contact information

- **Practice address:** 1229 STATE HIGHWAY 77 STE 1, MARION, AR 72364-9050
- **Practice address phone:** (870) 735-4400
- **Practice address fax:** (870) 735-4412
- **Mailing address:** 1229 STATE HIGHWAY 77 STE 1, MARION, AR 72364-9050
- **Mailing address phone:** (870) 735-4400
- **Mailing address fax:** (870) 735-4412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/19/2018
- **Last updated:** 12/19/2018