NPI 1164491767

James T. Meredith Jr MD PA

Organisation Preferred Provider Organization Forrest City, AR

Practice location

Address: 921 Holiday Dr, Forrest City, AR 72335-9183
Phone: (870) 633-4711
Fax: (870) 633-4850

Authorised official

Name: James Therold Meredith
Title: Owner
Phone: (870) 633-4711

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence MC0977 (AR)

Other Preferred Provider Organization providers in Arkansas →

Registry record

NPI: 1164491767
Entity type: Organization
NPI issued: 16 Mar 2006
Record last updated: 24 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.