Individual
JANICE W NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1107 14TH AVE SE, SUITE G400, DECATUR, AL 35601-3309
(256) 309-5622
(256) 309-5696
Mailing address
1107 14TH AVE SE, SUITE G400, DECATUR, AL 35601-3309
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
00019301
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51529947
BCBS
AL
Enumeration date
07/21/2006
Last updated
08/31/2007
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