Provider Demographics
NPI:1780140582
Name:MEETZE, VIRIGINIA LEIGH
Entity type:Individual
Prefix:MISS
First Name:VIRIGINIA
Middle Name:LEIGH
Last Name:MEETZE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 FORE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29229-4318
Mailing Address - Country:US
Mailing Address - Phone:803-297-0927
Mailing Address - Fax:
Practice Address - Street 1:300 FORE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29229-4318
Practice Address - Country:US
Practice Address - Phone:803-297-0927
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-16
Last Update Date:2019-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program