Meadows, Tara M

Meadows, Tara M is an individual health care provider with primary practice located at 2215 Landover Pl , Lynchburg VA 24501-2115. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Meadows, Tara M can be contacted via phone (434) 947-3944.

Contact Information

Primary practice address
2215 Landover Pl Lynchburg VA 24501-2115
Phone: (434) 947-3944
Fax: (866) 617-8273
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0110002436 Virginia

Profile Details

NPI number 1336208693
LBN Legal business name Meadows, Tara M
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jan 12th, 2023 - about last year

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 1336208693 NPPES
Other 1336208693 TRICARE
MEDICAID 1336208693 TRICARE
Other 016132M68 TRICARE
Other P00458958 TRICARE

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