Organization
JAMES T. MEREDITH JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES THEROLD MEREDITH JR. MD (OWNER)
(870) 633-4711
Entity
Organization
Contact information
Practice address
921 HOLIDAY DR, FORREST CITY, AR 72335-9183
(870) 633-4711
(870) 633-4850
Mailing address
921 HOLIDAY DR, FORREST CITY, AR 72335-9183
(870) 633-4711
(870) 633-4850
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
MC0977
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106020002
—
AR
01
—
DG5130
RAILROAD MEDICARE
SC
Enumeration date
03/16/2006
Last updated
09/24/2020
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