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NPI Code Detail

MEDICARE: DR. ANN ELIZABETH MEYER D.O.

MEDICARE:  DR. ANN ELIZABETH MEYER  D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician34004333WOH
2207Q00000XFamily Medicine Physician36669SC

Other Identifiers

General Provider Information

NPI Number : 1053387019
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANN ELIZABETH MEYER D.O.
Provider Business Mailing Address
First Line : 1690 HIGHWAY 160 W
Second Line :
City : FORT MILL
State : SC
Zip : 29708-8024
Country : US
Telephone Number : 803-547-7541
Fax Number :
Provider Business Practice Location Address
First Line : 1690 HIGHWAY 160 W
Second Line :
City : FORT MILL
State : SC
Zip : 29708-8024
Country : US
Telephone Number : 803-547-7541
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2006
Last Update Date : 11/25/2014

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Directions to “ DR. ANN ELIZABETH MEYER D.O.” Practice Location

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