Individual
JACOB CAMERON MCNEEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
250 STANAFORD ROAD, STE 210, BECKLEY, WV 25801-3140
(304) 254-2618
(304) 254-2669
Mailing address
250 STANAFORD RD, BECKLEY, WV 25801-3140
(304) 465-1030
(304) 469-9811
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1467
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046767000
—
WV
Enumeration date
07/25/2006
Last updated
07/21/2022
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