Healthcare Provider Details

I. General information

NPI: 1215810767
Provider Name (Legal Business Name): MEREDITH M ARTHUR LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3130 CHAPARRAL DR BLDG B, SUITE 202
ROANOKE VA
24018
US

IV. Provider business mailing address

3130 CHAPARRAL DR BLDG B SUITE 202
ROANOKE VA
24018-4353
US

V. Phone/Fax

Practice location:
  • Phone: 540-404-2682
  • Fax: 540-202-8127
Mailing address:
  • Phone: 540-404-2682
  • Fax: 540-202-8127

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MEREDITH M ARTHUR
Title or Position: OWNER/PRESIDENT
Credential: DO
Phone: 540-404-2682