Individual
DR. WILBUR RYAN MEREDITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
251 WILMOT DR, GASTONIA, NC 28054-4048
(704) 861-0425
(704) 861-0274
Mailing address
251 WILMOT DR, GASTONIA, NC 28054-4048
(704) 861-0425
(704) 861-0274
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
306
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101245
WELLNESS
—
01
—
17607
WELLPATH
—
01
—
2047532
AETNA
—
01
—
238688
MAMSI
—
01
—
2413957006
CIGNA
—
01
—
4406591
AETNA
—
01
—
561552247002
PRUDENTIAL
—
05
—
890815J
—
NC
05
—
PDN306
—
NC
Enumeration date
09/12/2005
Last updated
10/04/2011
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