Organization
STEPHEN NEIL MEYERS MD PC
Active
Other names
S Neil Meyers MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN NEIL MEYERS MD (PRESIDENT)
(229) 333-0504
Entity
Organization
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
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00253096H
—
GA
01
—
202G086627
MEDICARE PTAN
GA
01
—
A002
TRICARE
GA
Enumeration date
05/15/2007
Last updated
03/25/2010
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