Individual
MRS. MEREDITH ACH KIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSC, CTRS
Contact information
Practice address
104 SETTLERS HAMMOCK CIR, SAINT SIMONS ISLAND, GA 31522-8800
(912) 269-6774
(912) 634-6010
Mailing address
104 SETTLERS HAMMOCK CIR, SAINT SIMONS ISLAND, GA 31522-8800
(912) 269-6774
(912) 634-6010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
07/09/2007
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