Individual
STEPHEN N NEIL MEYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2704 NORTH OAK STREET, BUILDING M, VALDOSTA, GA 31602-1791
(229) 333-0504
(229) 333-0150
Mailing address
PO BOX 3131, VALDOSTA, GA 31604-3131
(229) 333-0504
(229) 333-0150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
022841
GA
2083X0100X
Occupational Medicine Physician
022841
GA
208D00000X
General Practice Physician
022841
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00253096H
—
GA
01
—
0101932
UNITED HEALTHCARE
—
01
—
202I086627
MEDICARE PTAN
GA
01
—
257879
BLUE CROSS & BLUE SHIELD
GA
01
—
A002
TRICARE
—
Enumeration date
05/17/2007
Last updated
08/06/2021
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