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Individual

DR. KENNETH R NEUFELD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5995 BARFIELD RD, SANDY SPRINGS, GA 30328-4411
(404) 256-1507
(404) 256-1981
Mailing address
5901A PEACHTREE DUNWOODY RD NE, STE 500, ATLANTA, GA 30328-5382
(678) 892-2020
(678) 538-1950

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
054836
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
328678
WELLCARE
GA
05
383428098B
GA
05
383428098D
GA
01
582209517
WORK COMP
GA
01
7806517
AETNA
GA
01
911549
BCBS
GA
01
911550
BCBS
GA
01
P00301618
RR MEDICARE
GA
Enumeration date
12/01/2005
Last updated
11/15/2013
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