Individual
DIANNA LYN NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7182 WOODROW ST STE 200, IRMO, SC 29063-2958
(803) 749-1111
(803) 749-0050
Mailing address
6439 GARNERS FERRY ROAD, COLUMBIA, SC 29209-1639
(803) 776-4000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34763
SC
207Q00000X
Family Medicine Physician
45100
GA
207Q00000X
Family Medicine Physician
MD16519
ME
Other
Enumeration date
05/17/2012
Last updated
06/02/2021
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