| Doctor Name: | JONATHAN DEREK MEEKS |
| NPI Number: | 1942632096 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | FNP |
| License Number: | 18318 |
| Business Practice Address: | 1254 Yeamans Hall Rd Hanahan, SC - 294102787 |
| Business Phone Number: | 8435548312 |
| Business Fax Number: | 8435545141 |
| Mailing Address: | Po Box 118008, NORTH CHARLESTON |
| State: | SC |
| Postal Code: | 294238008 |
| Phone Number: | 8435548312 |
| Fax Number: | 8435545141 |
| NPI Enumeration Date: | 07/31/2013 |
| NPI Last Update Date: | 11/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 18318 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |