Dr. Philip Dale Meador Jr., MD
Dermatology in Henderson, NC. Individual provider (NPI-1).
NPI number1679634646
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1679634646
- Entity type
- Individual (NPI-1)
- Name
- Dr. Philip Dale Meador Jr.
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 13, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 17395 | NC | Yes |
Practice location
568 Ruin Creek RdSuite 120
Henderson, NC 27536-2880
Phone 252-492-2123 · Fax 252-436-0031
Mailing address
568 Ruin Creek RdSuite 120
Henderson, NC 27536-2880
Phone 252-492-2123 · Fax 252-436-0031
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