MEDICARE: DR. GRAHAM SCOTT MEYER MD FACEP FAAEM

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
1	207P00000X	Emergency Medicine Physician	9500405	NC
2	208D00000X	General Practice Physician	9500405	NC

General Provider Information

NPI Number	:	1598737207
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GRAHAM SCOTT MEYER MD FACEP FAAEM

Provider Business Mailing Address
First Line	:	2415 RAEFORD RD
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28305-5115
Country	:	US
Telephone Number	:	910-584-6909
Fax Number	:	910-484-6742

Provider Business Practice Location Address
First Line	:	104 ADAIR DR
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27530-4516
Country	:	US
Telephone Number	:	919-648-4435
Fax Number	:	910-267-8932

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	12/08/2016

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