Provider Demographics
NPI:1922171255
Name:MEREDITH, MARGARET LITTEL (DPM)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:LITTEL
Last Name:MEREDITH
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:312 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:PEARISBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24134-1523
Mailing Address - Country:US
Mailing Address - Phone:540-553-4300
Mailing Address - Fax:540-787-5004
Practice Address - Street 1:312 N MAIN ST
Practice Address - Street 2:
Practice Address - City:PEARISBURG
Practice Address - State:VA
Practice Address - Zip Code:24134-1523
Practice Address - Country:US
Practice Address - Phone:540-553-4300
Practice Address - Fax:540-787-5004
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2021-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0103000830213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA9300856Medicaid
VA9300856Medicaid
VAU01263Medicare UPIN