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1700818358

NPI Code Detail

MEDICARE: MRS. JENNIFER ADELE MEYER MD

MEDICARE: MRS. JENNIFER ADELE MEYER MD

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	208000000X	Pediatrics Physician	MD428460	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7742816	OTHER	PA	AETNA NON-HMO
2	P008245	OTHER	PA	GATEWAY HEALTH PLAN
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	1399083	OTHER	PA	AETNA HMO
5	1869071	OTHER	PA	HIGHMARK BLUE SHIELD
6	I54909	OTHER	PA	HEALTH AMERICA
7	100765 S1BX	OTHER	PA	GEISINGER HEALTH PLAN
8	20058917	OTHER	PA	AMERIHEALTH MERCY HEALTH
9	50059521	OTHER	PA	CAPITAL BLUE CROSS

General Provider Information

NPI Number	:	1700818358
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JENNIFER ADELE MEYER MD

Provider Business Mailing Address
First Line	:	2713 DANTZLER DR
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9005
Country	:	US
Telephone Number	:	843-764-1722
Fax Number	:	843-764-1788

Provider Business Practice Location Address
First Line	:	2713 DANTZLER DR
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29406-9005
Country	:	US
Telephone Number	:	843-764-1722
Fax Number	:	813-764-1788

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	10/10/2013

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Directions to “ MRS. JENNIFER ADELE MEYER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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