Individual
DR. RANDOLPH V NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
101 HOLBROOK ST, DANVILLE, VA 24541-1732
(434) 792-7765
Mailing address
101 HOLBROOK ST, DANVILLE, VA 24541-1732
(434) 685-7952
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101055662
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010019613
—
VA
Enumeration date
12/18/2006
Last updated
11/08/2021
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