Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 9991 | MS |
NPI | 1144344151 |
---|---|
Provider Name | Dr. David L. Merideth |
First Address | Ridgeland, MS 39157-6031 |
Second Address | Ridgeland, MS 39157-6031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 08/07/2007 |