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Contact Information

JAMES T. MEREDITH JR MD PA
921 HOLIDAY DR
FORREST CITY, AR72335-9183
 Phone: 870-633-4711
 Fax: 870-633-4850
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for JAMES T. MEREDITH JR MD PA

NPI Number 1164491767
LBN Legal business name JAMES T. MEREDITH JR MD PA
Authorized official JAMES MEREDITH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/16/2006
Last updated 09/24/2020 - About 6 years ago
Identifiers
AR License # MC0977
AR Medicaid 106020002
SC Other DG5130 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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