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Individual

MARIANNE R NEAL

Active
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Individual

MARIANNE R NEAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
31365
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3130527
BCBS
TN
05
3840962
TN
01
64018062
KENTUCKY MEDICAID
KY
01
7222084
VIRGINIA MEDICAID
VA
01
89063JK
NORTH CAROLINA MEDICAID
NC
Enumeration date
05/08/2006
Last updated
07/13/2026
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