Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 0101238133 | VA |
Y | 2084N0400X | Neurologist | 200200054 | NC |
N | 2084N0402X | Child Neurologist | 200200054 | NC |
N | 2084N0600X | Clinical Neurophysiologist | 200200054 | NC |
N | 2084V0102X | Vascular Neurology | 200200054 | NC |
NPI | 1386667343 |
---|---|
Provider Name | Robert S Meadows |
First Address | Elkin, NC 28621-2445 |
Second Address | Elkin, NC 28621-2445 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2006 |
Last Update Date | 02/09/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
010294533 | (05) | VA |
P00346221 | RAILROAD (01) | VA |