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Individual
JOHN NEEL RANGE
Active
Individual
JOHN NEEL RANGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
021274
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000252755C
—
GA
01
—
0100290
UNITED HEALTHCARE
GA
01
—
10045373
AMERIGROUP
GA
01
—
341308
WELLCARE
GA
01
—
4105859
AETNA PPO
GA
01
—
52046825
BCBS
GA
01
—
6679698
CIGNA
GA
01
—
80075271
RR MEDICARE-GRP # CC4177
GA
Enumeration date
01/23/2006
Last updated
10/26/2018
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