Individual
COREY DAVID MCNEILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 W CHURCH ST, LEXINGTON, TN 38351-2038
(731) 968-3646
Mailing address
1840 MEDICAL CENTER PKWY STE 403, MURFREESBORO, TN 37129-3237
(615) 396-6449
(615) 396-6796
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
65124
TN
207Q00000X
Family Medicine Physician
65124
TN
207R00000X
Internal Medicine Physician
65124
TN
208000000X
Pediatrics Physician
65124
TN
208100000X
Physical Medicine & Rehabilitation Physician
65124
TN
2085R0202X
Diagnostic Radiology Physician
65124
TN
208600000X
Surgery Physician
65124
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2020
Last updated
06/07/2024
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