Provider Demographics
NPI:1609029446
Name:MEACHAM, EUGENIA O
Entity Type:Individual
Prefix:
First Name:EUGENIA
Middle Name:O
Last Name:MEACHAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 ARLINGTON BLVD
Mailing Address - Street 2:E-616
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-3926
Mailing Address - Country:US
Mailing Address - Phone:703-528-5102
Mailing Address - Fax:703-528-5102
Practice Address - Street 1:1021 ARLINGTON BLVD
Practice Address - Street 2:E-616
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-3926
Practice Address - Country:US
Practice Address - Phone:703-528-5102
Practice Address - Fax:703-528-5102
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-24
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator