Individual
DR. JOHN THOMAS MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
46 OFFICE PARK DR, JACKSONVILLE, NC 28546-3217
(910) 353-3535
Mailing address
46 OFFICE PARK DR, JACKSONVILLE, NC 28546-3217
(910) 353-3535
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
3953
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
744032
UNITED CONCORDIA
NC
05
—
8995847
—
NC
01
—
95847
BCBS
NC
Enumeration date
05/16/2006
Last updated
10/04/2011
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