Individual
DR. MICHAEL L. MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 LAUREL AVE N304, KNOXVILLE, TN 37916-2022
(865) 766-6870
(865) 766-0133
Mailing address
2001 LAUREL AVE N304, KNOXVILLE, TN 37916
(865) 766-6870
(865) 766-0133
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
58371
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
242044
—
OH
01
—
2480976
KY WELLCARE MEDICAID
KY
01
—
5074139
AETNA
—
05
—
7100725910
—
KY
05
—
Q071319
—
TN
Enumeration date
01/26/2006
Last updated
05/08/2023
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