Individual
DR. GEORGE RODNEY MEEKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5373
(601) 984-5476
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5373
(601) 984-5476
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
7036
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016026
—
MS
01
—
08103071
UP MEDICAID GROUP NUMBER
MS
01
—
160022723
RR MEDICARE NUMBER
MS
01
—
512G700003
UP MEDICARE GROUP PROV #
MS
01
—
512I160011
MEDICARE PTAN
MS
01
—
P00679675
UP RR MEDICARE PTAN#
MS
Enumeration date
07/11/2006
Last updated
04/19/2013
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