Basic Information
Provider Information
NPI: 1568812139
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARAGON
FirstName: MEREDITH
MiddleName: LEIGH
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 890 W FARIS RD
Address2: SUITE 470
City: GREENVILLE
State: SC
PostalCode: 296054253
CountryCode: US
TelephoneNumber: 8644557887
FaxNumber: 8644556875
Practice Location
Address1: 890 W FARIS RD
Address2: SUITE 470
City: GREENVILLE
State: SC
PostalCode: 296054253
CountryCode: US
TelephoneNumber: 8644557887
FaxNumber: 8644556875
Other Information
ProviderEnumerationDate: 06/15/2016
LastUpdateDate: 12/20/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207V00000XLL39806SCY Allopathic & Osteopathic PhysiciansObstetrics & Gynecology 

No ID Information.


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