Organization
PANACEA O'NEILL MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIERNAN O'NEILL (OWNER/MANAGER)
(256) 772-4300
Entity
Organization
Contact information
Practice address
104 SPENRYN DR, MADISON, AL 35758-1890
(256) 772-4300
(256) 772-4302
Mailing address
104 SPENRYN DR, MADISON, AL 35758-1890
(256) 772-4300
(256) 772-4302
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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