Individual
DR. MARY K MCNEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
125 CRESTVIEW PARK DR, DICKSON, TN 37055-2850
(615) 441-4411
(615) 446-1357
Mailing address
127 CRESTVIEW PARK DR, DICKSON, TN 37055-2850
(615) 441-4478
(615) 446-1357
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD35415
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
370019483
RAILROAD MEDICARE PIN
—
05
—
3867251
—
TN
01
—
4041304
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
05/23/2005
Last updated
02/02/2012
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