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NPI Code Detail

MEDICARE: BROCK WILLIAM MEEKER

MEDICARE: BROCK WILLIAM MEEKER
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
1208000000XPediatrics Physician2025-02904NC

General Provider Information

NPI Number : 1578203675
Entity Type Code : Individual
Provider Name (Legal Business Name) : BROCK WILLIAM MEEKER
Provider Business Mailing Address
First Line : 280 BEAU BROOK LN
Second Line :
City : SHARPSBURG
State : GA
Zip : 30277-2048
Country : US
Telephone Number : 770-714-8505
Fax Number :
Provider Business Practice Location Address
First Line : 1000 BLYTHE BLVD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-5812
Country : US
Telephone Number : 704-355-4823
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2022
Last Update Date : 02/04/2026

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Directions to “ BROCK WILLIAM MEEKER ” Practice Location

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