Individual
MRS. MELINDA RENEE MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
401 EAST MAIN STREET, JOHNSON CITHY, TN 37601-4877
(423) 929-2584
(423) 722-2060
Mailing address
401 E MAIN ST, JOHNSON CITY, TN 37601-4877
(423) 929-2584
(423) 722-2060
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0000002348
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2348
LICENSE
TN
Enumeration date
12/16/2012
Last updated
11/18/2013
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