Individual
DR. PHILIP DALE MEADOR JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
568 RUIN CREEK RD, SUITE 120, HENDERSON, NC 27536-2880
(252) 492-2123
(252) 436-0031
Mailing address
568 RUIN CREEK RD, SUITE 120, HENDERSON, NC 27536-2880
(252) 492-2123
(252) 436-0031
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
17395
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58290
BCBS OF NC
NC
05
—
8958290
—
NC
Enumeration date
12/13/2006
Last updated
07/08/2007
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