Individual
RUTH NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-9729
(706) 721-8507
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-6410
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
019180
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000138696A
—
GA
05
—
907852
—
SC
Enumeration date
08/30/2006
Last updated
03/31/2011
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