Provider Demographics
NPI:1932464518
Name:PAWLIW, MEREDITH L (PA)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:L
Last Name:PAWLIW
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:20010 CENTURY BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1115
Mailing Address - Country:US
Mailing Address - Phone:240-686-2300
Mailing Address - Fax:240-686-2330
Practice Address - Street 1:300 S PRESTON ST
Practice Address - Street 2:
Practice Address - City:RANSON
Practice Address - State:WV
Practice Address - Zip Code:25438-1631
Practice Address - Country:US
Practice Address - Phone:304-728-1642
Practice Address - Fax:304-728-1644
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2014-12-03
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Provider Licenses
StateLicense IDTaxonomies
WV01646363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical