Individual
DEBORAH MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
9937
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099379
—
SC
01
—
3203970
CAROLINA CARE PLAN
SC
01
—
4283784
AETNA
—
Enumeration date
02/24/2006
Last updated
12/04/2012
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