Individual
MR. CHARLES A NEAL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1701 HARDEE AVE SW, FORT MCPHERSON, GA 30330-1062
(404) 464-0414
(404) 464-0410
Mailing address
1701 HARDEE AVE SW, FORT MCPHERSON, GA 30330-1062
(404) 464-0414
(404) 464-0410
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
09/12/2007
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