Individual
DR. MEREDITH DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
7048 OLD CANTON RD, RIDGELAND, MS 39157-1008
(601) 853-8904
Mailing address
4644 KATHERINE BLVD, JACKSON, MS 39211-5855
(769) 777-9669
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4275-22
MS
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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