Provider Demographics
NPI:1437495538
Name:MEYER CARDIOLOGY, PC
Entity Type:Organization
Organization Name:MEYER CARDIOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:P
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-745-5476
Mailing Address - Street 1:PO BOX 4687
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31208-4687
Mailing Address - Country:US
Mailing Address - Phone:478-745-5476
Mailing Address - Fax:
Practice Address - Street 1:360 HOSPITAL DR
Practice Address - Street 2:BLDG D, STE 200
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31217-8047
Practice Address - Country:US
Practice Address - Phone:478-745-5476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty