Individual
DR. JOHN CHAMP NEELY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
240 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5691
Mailing address
338 VIA VERA CRUZ STE 100, SAN MARCOS, CA 92078-2645
(904) 643-4353
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
MD2022-1046
NM
207P00000X
Emergency Medicine Physician
51688
TN
207P00000X
Emergency Medicine Physician
Primary
A149450
CA
207R00000X
Internal Medicine Physician
MD.205104
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2157621
—
AR
Enumeration date
05/06/2009
Last updated
09/22/2022
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