MEDICARE: RUTH ANN MEYER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant		NC

General Provider Information

NPI Number	:	1770785420
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUTH ANN MEYER PA-C

Provider Business Mailing Address
First Line	:	1348 FAIRWAY TER
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-9620
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1348 FAIRWAY TER
Second Line	:
City	:	ROCKY MOUNT
State	:	NC
Zip	:	27804-9620
Country	:	US
Telephone Number	:	870-577-5654
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2007
Last Update Date	:	07/08/2007

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Directions to “ RUTH ANN MEYER PA-C” Practice Location

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