Provider Demographics
NPI:1750378444
Name:MEIERE, CHENEY MELL II (MD)
Entity type:Individual
Prefix:DR
First Name:CHENEY
Middle Name:MELL
Last Name:MEIERE
Suffix:II
Gender:M
Credentials:MD
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Mailing Address - Street 1:1303 AZALEA CT
Mailing Address - Street 2:STE C
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-5765
Mailing Address - Country:US
Mailing Address - Phone:843-692-0570
Mailing Address - Fax:843-497-9566
Practice Address - Street 1:555 E CHEVES ST
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2617
Practice Address - Country:US
Practice Address - Phone:843-669-5162
Practice Address - Fax:843-667-4573
Is Sole Proprietor?:No
Enumeration Date:2005-09-29
Last Update Date:2023-06-16
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Provider Licenses
StateLicense IDTaxonomies
SC83312085R0202X, 2085B0100X, 2085D0003X, 2085U0001X, 2085N0700X, 2085N0904X, 2085P0229X, 2085R0001X, 2085R0205X, 2085R0203X, 207U00000X, 2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085B0100XAllopathic & Osteopathic PhysiciansRadiologyBody Imaging
No2085D0003XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Neuroimaging
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
No2085P0229XAllopathic & Osteopathic PhysiciansRadiologyPediatric Radiology
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No2085R0205XAllopathic & Osteopathic PhysiciansRadiologyRadiological Physics
No2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC300020868OtherRAILROAD MEDICARE
SC28054OtherMEDCOST
NC06209OtherBCBS OF NC
SC154758900OtherUS DEPT OF LABOR
NC8906209OtherNC MEDICAID
SC083313Medicaid
SC154758900OtherFEDERAL BLACK LUNG
SC570525838OtherSTANDARD TAX ID
NC8906209OtherNC MEDICAID
SCD90598Medicare UPIN