Organization
MERIDIAN MEDICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CASEY HAARALA (ADMINISTRATOR)
(601) 553-2000
Entity
Organization
Contact information
Practice address
2024 15TH ST FL 2, MERIDIAN, MS 39301-4130
(601) 553-2000
(601) 581-1724
Mailing address
2024 15TH ST FL 2, MERIDIAN, MS 39301-4130
(601) 553-2000
(601) 581-1724
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
2084N0400X
Neurology Physician
—
—
208800000X
Urology Physician
—
—
208D00000X
General Practice Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LA2100X
Acute Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09234012
—
MS
05
—
209375
—
AL
Enumeration date
08/19/2006
Last updated
03/27/2023
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