Individual
DR. SHIRLEY JEAN MEREDITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
(502) 708-2780
(502) 805-0788
Mailing address
125 FAIRFAX AVE, LOUISVILLE, KY 40207-4905
(502) 708-2780
(502) 805-0788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
049920
GA
207R00000X
Internal Medicine Physician
35. 072880
OH
207R00000X
Internal Medicine Physician
Primary
41773
KY
208D00000X
General Practice Physician
16175
MS
Other
Enumeration date
10/30/2007
Last updated
03/08/2012
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