Individual
DR. RICHARD GAVIN MACNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1619 CREIGHTON RD STE 1, PENSACOLA, FL 32504-7152
(850) 444-4700
Mailing address
409 S 13TH ST, LILLINGTON, NC 27546-8354
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
DO.3246
AL
207RN0300X
Nephrology Physician
Primary
OS15648
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2017
Last updated
05/23/2023
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