Provider Demographics
NPI:1609156264
Name:MEADOWS, ELIZABETH ASHLEY HEARD (MSPO, CPO)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ASHLEY HEARD
Last Name:MEADOWS
Suffix:
Gender:F
Credentials:MSPO, CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 BARCLAY RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27712-1614
Mailing Address - Country:US
Mailing Address - Phone:423-463-5850
Mailing Address - Fax:919-797-1240
Practice Address - Street 1:300 BARCLAY RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27712-1614
Practice Address - Country:US
Practice Address - Phone:423-463-5850
Practice Address - Fax:919-797-1240
Is Sole Proprietor?:No
Enumeration Date:2011-08-26
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCO005013222Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist