Provider Demographics
NPI:1881653855
Name:MEAKIN, CHARLES J (MD)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:J
Last Name:MEAKIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:200 QUEENS RD
Mailing Address - Street 2:SUITE 400
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28204-3252
Mailing Address - Country:US
Mailing Address - Phone:704-333-7376
Mailing Address - Fax:704-333-3397
Practice Address - Street 1:2525 COURT DR
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-2140
Practice Address - Country:US
Practice Address - Phone:704-834-2944
Practice Address - Fax:704-834-2857
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2012-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC94012672085R0001X
SC178462085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2204097HOtherMEDICARE PTAN
NC58357OtherBLUE CROSS
NC62137OtherMEDCOST
NC769478OtherUNITED HEALTHCARE
SCN01267Medicaid
NC26030OtherPARTNERS
NC1799959008OtherCIGNA
NC8958357Medicaid
NC62137OtherMEDCOST
NC26030OtherPARTNERS
NC2204097FMedicare ID - Type UnspecifiedLAKE NORMAN RAD ONC CTR
NC769478OtherUNITED HEALTHCARE
NC58357OtherBLUE CROSS
NCE71768Medicare UPIN
NC2204097EMedicare ID - Type UnspecifiedUNIVERSITY RAD ONC CTR