Healthcare Provider Details
I. General information
NPI: 1538871512
Provider Name (Legal Business Name): WM. HUGH MEEKS, JR., M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/21/2022
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1350 WALTON WAY
AUGUSTA GA
30901-2612
US
IV. Provider business mailing address
PO BOX 3967
AUGUSTA GA
30914-3967
US
V. Phone/Fax
- Phone: 706-722-9011
- Fax:
- Phone: 706-737-9250
- Fax: 706-733-0697
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207L00000X |
| Taxonomy | Anesthesiology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WILLIAM
MEEKS
JR.
Title or Position: OWNER
Credential: MD
Phone: 706-910-3449