Individual
DR. JAMES THEROLD MEREDITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
921 HOLIDAY DR, FORREST CITY, AR 72335-9183
(870) 633-4711
(870) 633-4850
Mailing address
921 HOLIDAY DR, FORREST CITY, AR 72335-9183
(870) 633-4711
(870) 633-4850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C5727
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080077472
TRICARE
AR
05
—
106002001
—
AR
05
—
106020002
—
AR
01
—
13346000000
QUALCHOICE
AR
01
—
172348500
US DEPT OF LABOR WC
AR
01
—
4032439
AETNA
AR
01
—
P01915
NOVASYS
AR
Enumeration date
06/09/2005
Last updated
11/27/2023
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