Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice | |
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management |
| NPI # | 1376973651 |
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| LBN Legal business name | MERIDETH C NORRIS PA | ||||||||||||||||
| Authorized official | MERIDETH NORRIS - (OWNER/PROVIDER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 11/22/2013 | ||||||||||||||||
| Last updated | 03/16/2015 - About 11 years ago | ||||||||||||||||
| Identifiers |
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