# JOHN NEEL RANGE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760452783
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 021274 | GA | Yes |

## Other

- **Enumeration date:** 01/23/2006
- **Last updated:** 10/26/2018

## 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 |