Individual
MR. GERALD STEVEN MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMH-NP
Contact information
Practice address
JAMES H. QUILLEN/VAMC, CORNER OF SIDNEY AND LAMONT, MOUNTAIN HOME, TN 37684
(423) 926-1171
(423) 979-3529
Mailing address
4514 BROOKRIDGE DR, KINGSPORT, TN 37664-2106
(423) 288-9693
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0000064034
TN
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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