Individual
MR. BEN B NEELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
112 N WASHINGTON ST, LYONS, GA 30436-1179
(912) 526-6479
(912) 526-8878
Mailing address
PO BOX 626, LYONS, GA 30436-0626
(912) 526-6479
(912) 526-8878
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
010249
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000012449A
—
GA
01
—
010065254
RAILROAD MEDICARE
GA
Enumeration date
10/03/2005
Last updated
12/07/2023
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