Individual
MEREDITH LYNN EASTERLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA005915
PA
363AM0700X
Medical Physician Assistant
Primary
MA063144
PA
Other
Enumeration date
10/20/2021
Last updated
02/05/2025
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