Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | LL82704 | SC |
NPI | 1003477126 |
---|---|
Provider Name | Dr. Jeffrey Roy Meyers |
First Address | Columbia, SC 29203 |
Second Address | Columbia, SC 29203 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2019 |
Last Update Date | 02/07/2019 |