Individual
MEREDITH FLEENOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3356 VINEVILLE AVE, MACON, GA 31204-2328
(478) 476-9642
Mailing address
935 SAINT ANDREWS RD, MACON, GA 31210-7902
(478) 731-3870
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
RN176796
GA
363LG0600X
Gerontology Nurse Practitioner
RN176796
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN176796
GA
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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