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Contact Information

KENYON M MEADOWS, MD
4247 W. MAIN STREET
DOTHAN, AL36305-1062
 Phone: 334-793-3212
 Fax: 334-671-0484
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
Indicates primary specialty

NPI Profile & details for KENYON M MEADOWS · (Male)

NPI # 1891726451
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2006
Last updated 11/05/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # 00027449
  • GA License # 61801
  • AL Medicaid 1891726451
  • FL Medicaid 276328100
  • GA Medicaid 400647716A
  • AL Other 510-10021 BCBS OF AL
  • AL Other 1831385632 MEDICAID GROUP AL
  • AL Other P00348790 RAILROAD MEDICARE PIN #
Hospital affiliation(s)
  • SOUTHEAST GEORGIA HEALTH SYSTEM- BRUNSWICK CAMPUS - (Acute Care)
    2415 PARKWOOD DRIVE
    BRUNSWICK, GA 31520
  • SOUTHEAST GEORGIA HEALTH SYSTEM- CAMDEN CAMPUS - (Acute Care)
    2000 DAN PROCTOR DRIVE
    SAINT MARYS, GA 31558
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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