Individual
MR. GREGORY HEATH MCNEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
620 SKYLINE DR, JACKSON, TN 38301-3923
(731) 541-5000
Mailing address
120 FOREST LAKE DR, HUMBOLDT, TN 38343-6500
(731) 445-8273
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
233409
TN
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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