Organization
MERIDIAN INTERNAL MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLINE C PROCHNAU M.D. (PRESIDENT/OWNER)
(336) 633-3073
Entity
Organization
Contact information
Practice address
306 N COX ST, ASHEBORO, NC 27203-5528
(336) 633-3073
(336) 633-3074
Mailing address
PO BOX 4937, ASHEBORO, NC 27204-4937
(336) 633-3073
(336) 633-3074
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2000-01522
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5913593
—
NC
Enumeration date
11/17/2009
Last updated
01/11/2011
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