Individual
MARY JOYCE NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
327-3 SUNSET AVENUE SW, NEWTON, GA 39870
(229) 734-5250
(229) 734-5606
Mailing address
204 N WESTOVER BLVD, ALBANY, GA 31707-2983
(229) 888-6559
(229) 436-4107
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
029357
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000436532A
—
GA
01
—
238988
BCBS - EAPC
GA
01
—
239001
BCBS - BCPHC
GA
01
—
370004359
RR MCARE - BCPHC
GA
01
—
5095044
AETNA
GA
01
—
700008517
RR MCARE - EAPC
GA
Enumeration date
09/05/2006
Last updated
11/29/2011
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