Healthcare Provider Details

I. General information

NPI: 1497927339
Provider Name (Legal Business Name): AMY MEEKER PITZER DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. AMY MELISSA MEEKER

II. Dates (important events)

Enumeration Date: 04/01/2008
Last Update Date: 08/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1432 E FIRE TOWER RD
GREENVILLE NC
27858-4105
US

IV. Provider business mailing address

1432 E FIRE TOWER RD
GREENVILLE NC
27858-4105
US

V. Phone/Fax

Practice location:
  • Phone: 252-439-1150
  • Fax: 252-439-1152
Mailing address:
  • Phone: 252-439-1150
  • Fax: 252-439-1152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number537
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number537
License Number StateNC
# 3
Primary TaxonomyY
Taxonomy Code213EP1101X
TaxonomyPrimary Podiatric Medicine Podiatrist
License Number537
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: