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Organization

ANNETTE P MEADOR, MD P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNETTE P MEADOR M.D. (OWNER)
(501) 771-2835
Entity
Organization

Contact information

Practice address
2524 CRESTWOOD RD, N LITTLE ROCK, AR 72116
(501) 771-2835
(501) 758-6215
Mailing address
P O BOX 308, CONWAY, AR 72033
(501) 771-4370
(501) 327-9722

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
C6185
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146217002
AR
Enumeration date
05/10/2007
Last updated
03/19/2010
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