Most Relevant Information
Provider Data
| NPI Number: | 1003554031 |
| Provider Name: | MEREDITH ELIZABETH GATES PA |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 5157 |
Most Important Dates
| Enumeration Date: | 05/20/2022 |
| Last Updated: | 10/26/2022 |
Provider Practice Location
877 JEFFERSON AVE
MEMPHIS
TN
381032807
Practice Location Phone/Fax
| Phone: | 9015457100 |
| Fax: |
Provider Mailing Location
877 JEFFERSON AVE
MEMPHIS
TN
381032807
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |