Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 1821 | ME |
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 2012-01175 | NC |
N | 207Q00000X | Family Doctor | 1821 | ME |
Y | 207Q00000X | Family Doctor | 2012-01175 | NC |
NPI | 1083713812 |
---|---|
Provider Name | Thomas E Meek |
First Address | Connelly Springs, NC 28612-8079 |
Second Address | Connelly Springs, NC 28612-8079 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 17/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083713812 | (05) | NC |
432556899 | (05) | ME |