Doctor Name: | MS. TERRY ANN MEADOWS |
NPI Number: | 1487866158 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 10554 |
Business Practice Address: | 330 North Broad St Forest, MS - 39074 |
Business Phone Number: | 6014694151 |
Business Fax Number: | 6014693681 |
Mailing Address: | 173 K & B Lane, MAGEE |
State: | MS |
Postal Code: | 39111 |
Phone Number: | 6014694151 |
Fax Number: | |
NPI Enumeration Date: | 05/04/2007 |
NPI Last Update Date: | 01/06/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 10554 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |