Individual
LARRY W NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4145 BRADFORD HICKS DR, LIVINGSTON, TN 38570
(931) 510-3674
Mailing address
4145 BRADFORD HICKS DR, LIVINGSTON, TN 38570
(931) 510-3674
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
344600000X
Taxi
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1523368
—
TN
Enumeration date
05/04/2011
Last updated
03/28/2019
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