Individual
DR. CHENEY MELL MEIERE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
555 E CHEVES ST, RADIOLOGY DEPARTMENT, FLORENCE, SC 29506-2617
(843) 669-5162
(843) 667-4573
Mailing address
1303 AZALEA CT, STE C, MYRTLE BEACH, SC 29577-5765
(843) 692-0570
(843) 497-9566
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
8331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06209
BCBS OF NC
NC
05
—
083313
—
SC
01
—
154758900
US DEPT OF LABOR
SC
01
—
28054
MEDCOST
SC
01
—
300020868
RAILROAD MEDICARE
SC
01
—
570525838
STANDARD TAX ID
SC
01
—
8906209
NC MEDICAID
NC
Enumeration date
09/29/2005
Last updated
06/16/2023
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