Provider Demographics
NPI:1083713812
Name:MEEK, THOMAS E (DO)
Entity Type:Individual
Prefix:
First Name:THOMAS
Middle Name:E
Last Name:MEEK
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:730 MALCOLM BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:CONNELLY SPRINGS
Mailing Address - State:NC
Mailing Address - Zip Code:28612-8079
Mailing Address - Country:US
Mailing Address - Phone:828-580-8684
Mailing Address - Fax:828-580-8459
Practice Address - Street 1:730 MALCOLM BLVD STE 150
Practice Address - Street 2:
Practice Address - City:CONNELLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:28612-8079
Practice Address - Country:US
Practice Address - Phone:828-580-8684
Practice Address - Fax:828-580-8459
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2012-01175204D00000X, 2084A0401X, 207Q00000X
ME1821204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1083713812Medicaid
ME432556899Medicaid
NCNCA617AMedicare PIN
ME220601Medicare PIN