Individual
MARK H NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3643 N ROXBORO ST, DURHAM, NC 27704-2702
(919) 470-5277
(919) 470-5298
Mailing address
1121 SITUS CT, STE 170, RALEIGH, NC 27606-4279
(919) 834-2767
(919) 834-0234
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2009-01189
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5918355
—
NC
Enumeration date
04/17/2007
Last updated
11/20/2018
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