Organization
SHIRLEY J MEREDITH, MD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLEY J MEREDITH MD (DR/PHYSICIAN)
(229) 444-4140
Entity
Organization
Contact information
Practice address
4000 KRESGE WAY, BAPTIST EAST WOUND CARE CENTER, LOUISVILLE, KY 40207-4605
(502) 259-4470
(502) 259-4471
Mailing address
5400 HILLOCK LANE, CRESTWOOD, KY 40014
(229) 444-4140
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41773
KY
Other
Enumeration date
01/11/2012
Last updated
01/11/2012
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