Healthcare Provider Details

I. General information

NPI: 1881317808
Provider Name (Legal Business Name): ERIN LEIGH MEEKS MSN, APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 12/14/2023
Certification Date: 12/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2855 OLD HIGHWAY 5 STE 103
BLUE RIDGE GA
30513-6239
US

IV. Provider business mailing address

1362 S MAIN ST
ELLIJAY GA
30540-5410
US

V. Phone/Fax

Practice location:
  • Phone: 678-513-2273
  • Fax: 678-513-8869
Mailing address:
  • Phone: 706-635-7881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN271563
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: