Meadows, Terry Ann
Meadows, Terry Ann is an individual health care provider with primary practice located at 330 North Broad St , Forest MS 39074. She recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as her primary health care specialty. Meadows, Terry Ann can be contacted via phone (601) 469-4151.Contact Information
Primary practice address
330 North Broad St
Forest MS 39074
Phone: (601) 469-4151
Fax: (601) 469-3681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 10554 | Mississippi |
Profile Details
| NPI number | 1487866158 |
|---|---|
| LBN Legal business name | Meadows, Terry Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2007 |
| Last updated | Sep 19th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487866158 | NPPES |
| Mississippi | MEDICAID | 0010446 |
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