Provider Demographics
NPI:1649272519
Name:MEYER, JANET JONES (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:JONES
Last Name:MEYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 710
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37381-0710
Mailing Address - Country:US
Mailing Address - Phone:423-452-9984
Mailing Address - Fax:423-452-9980
Practice Address - Street 1:126 LAVENDER ST STE 2
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:TN
Practice Address - Zip Code:37381-5102
Practice Address - Country:US
Practice Address - Phone:423-452-9984
Practice Address - Fax:423-452-9980
Is Sole Proprietor?:No
Enumeration Date:2005-08-11
Last Update Date:2024-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA43257207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G432570Medicaid
CAHG43257AMedicare ID - Type UnspecifiedEMER ROOM
CA00G432570Medicaid