Individual
DR. JOHN LEACH MACNEILL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1701 THOMSON DR, SUITE 200, LYNCHBURG, VA 24501-1118
(434) 200-5925
(434) 200-5929
Mailing address
1701 THOMSON DR, SUITE 200, LYNCHBURG, VA 24501-1118
(434) 200-5925
(434) 200-5929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101043732
VA
207RX0202X
Medical Oncology Physician
Primary
0101043732
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006024866
—
VA
05
—
30016254040001
—
VA
Enumeration date
07/03/2006
Last updated
08/27/2024
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