Individual
JODY BENNETT-MEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
215 E WATER ST, MUNCY, PA 17756-8828
(570) 546-8282
Mailing address
215 E WATER ST, MUNCY, PA 17756-8828
(570) 546-8282
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA054532
PA
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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