Individual
JOHN MEREDITH PLUNKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
108 LAKESIDE DR, EDENTON, NC 27932-2059
(804) 240-1138
Mailing address
108 LAKESIDE DR, EDENTON, NC 27932-2059
(804) 240-1138
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
225800000X
Recreation Therapist
—
—
Other
Enumeration date
08/04/2021
Last updated
08/05/2021
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