Fawver, Meredith B

Fawver, Meredith B is an individual health care provider with primary practice located at 121 Frank Diggs Road , Clinton TN 37716. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fawver, Meredith B can be contacted via phone (865) 457-8840.

Contact Information

Primary practice address
121 Frank Diggs Road Clinton TN 37716
Phone: (865) 457-8840
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 14032 Tennessee

Profile Details

NPI number 1649416652
LBN Legal business name Fawver, Meredith B
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2008
Last updated Jul 13th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649416652 NPPES
Tennessee Other 3706633 MEDICARE GROUP

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