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Individual

DR. MARY CASSEBAUM MEYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
106 DOCTORS PARK, GALAX, VA 24333-2276
(276) 236-0065
Mailing address
PO BOX 1337, GALAX, VA 24333-1337
(276) 236-0065

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
101042251
VA
208000000X
Pediatrics Physician
FM6250447
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010159148
VA
01
182177
ANTHEM
VA
01
305707
SOUTHERN HEALTH
VA
01
8308332
CIGNA NC
NC
01
E0834
MEDCOST
NC
Enumeration date
09/13/2006
Last updated
11/17/2025
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