Healthcare Provider Details

I. General information

NPI: 1588597264
Provider Name (Legal Business Name): VETOVATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10804 SIX FORKS RD
RALEIGH NC
27614-9516
US

IV. Provider business mailing address

10804 SIX FORKS RD
RALEIGH NC
27614-9516
US

V. Phone/Fax

Practice location:
  • Phone: 919-247-0328
  • Fax:
Mailing address:
  • Phone: 919-345-8290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: DR. AMY MEWBORN MEADOWCROFT
Title or Position: CONSULTANT
Credential: PHARMD
Phone: 919-345-8290