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General NPI Number Information
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NPI Number | 1649228800
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Entity Type | Organization
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Legal Business Name | J O MEADOWS MD PA
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 560 RIVERSIDE DRIVE STE B202
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City | SALISBURY
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State | MD
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Zip | 21801
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Country | US
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Telephone | 410-543-0600
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Fax | 410-543-9480
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Provider Business Mailing Address
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Address Line | 560 RIVERSIDE DRIVE STE B202
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City | SALISBURY
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State | MD
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Zip | 21801
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Country | US
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Telephone | 410-543-0600
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Fax | 410-543-9480
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DR. JOHN O MEADOWS
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Credential | MD
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Telephone | 410-543-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D19822
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License Number State | MD
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