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NPI Code Detail

MEDICARE: MARGARET ELLA MEREDITH PA-C

MEDICARE: MARGARET ELLA MEREDITH PA-C
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
1363A00000XPhysician Assistant1057OK

General Provider Information

NPI Number : 1518946326
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET ELLA MEREDITH PA-C
Provider Business Mailing Address
First Line : 36488 S HIGHWAY 82
Second Line :
City : VINITA
State : OK
Zip : 74301-7438
Country : US
Telephone Number : 918-788-1881
Fax Number : 918-782-4266
Provider Business Practice Location Address
First Line : 113653 OLD HIGHWAY 69
Second Line :
City : CHECOTAH
State : OK
Zip : 74426-8802
Country : US
Telephone Number : 580-565-4235
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2006
Last Update Date : 04/29/2025

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Directions to “ MARGARET ELLA MEREDITH PA-C” Practice Location

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