Individual
MR. DAVID VENTURA MEEHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
45 SHOTWELL RD, CLAYTON, NC 27520
(919) 550-5354
(919) 550-5766
Mailing address
45 SHOTWELL RD, CLAYTON, NC 27520
(919) 550-5354
(919) 550-5766
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
31736
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401760
UNITED HEALTHCARE
—
01
—
1206F
BLUE CROSS BLUE SHIELD
NC
01
—
7210027
AETNA
—
05
—
891206F
—
NC
Enumeration date
02/01/2006
Last updated
11/01/2012
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