Individual
JAY WAYNE MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-2255
(336) 716-6637
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
(336) 716-6637
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
23615
NC
2086S0102X
Surgical Critical Care Physician
23615
NC
2086S0127X
Trauma Surgery Physician
23615
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
194376000
—
WV
01
—
2799
PARTNERS
NC
01
—
28086
MEDCOST
NC
01
—
58642
BCBS
NC
05
—
7300999
—
VA
01
—
7427654
AETNA
—
05
—
8958642
—
NC
05
—
Q23616
—
SC
Enumeration date
12/13/2005
Last updated
08/07/2023
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