Individual
ALLEN JEROME MEADOWS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
(803) 898-9825
Mailing address
2715 COLONIAL DR, COLUMBIA, SC 29203-6818
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
582341216
AUGUSTA METRO TREATMENT CENTER
GA
Enumeration date
02/21/2019
Last updated
01/31/2025
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