Individual
RACHEL RUSSELL MEADORS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 S MADISON ST, THOMASVILLE, GA 31792-5473
(229) 221-9552
Mailing address
1100 7TH AVE, JASPER, AL 35501
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN286724
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN286724
MEDICAL LICENSE
GA
Enumeration date
05/17/2013
Last updated
04/29/2020
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