Provider Demographics
NPI:1407942733
Name:MEIGS, JOHN SANSBURY JR (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:SANSBURY
Last Name:MEIGS
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:208 PIERSON AVENUE
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35042
Mailing Address - Country:US
Mailing Address - Phone:205-926-4859
Mailing Address - Fax:205-926-7644
Practice Address - Street 1:208 PIERSON AVENUE
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:AL
Practice Address - Zip Code:35042
Practice Address - Country:US
Practice Address - Phone:205-926-4859
Practice Address - Fax:205-926-7644
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL9285207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0110396OtherUNITED HEALTH CARE
C72607OtherHEALTHSPRING OF ALABAMA
000013292MEIOtherAETNA US HEALTHCARE
080001948OtherTRAVELERS MEDICARE
AL51013292MEIOtherBLUE CROSS BLUE SHIELD
AL000013292Medicaid
000013292MEIOtherVIVA HEALTH PLAN
C72607Medicare UPIN
AL51013292MEIOtherBLUE CROSS BLUE SHIELD