Organization
F LEE NEAL JR MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FITZHUGH LEE NEAL JR. M.D. (PRESIDENT)
(601) 757-5702
Entity
Organization
Contact information
Practice address
717 S CHURCH ST, BROOKHAVEN, MS 39601-3811
(601) 757-5702
Mailing address
717 S CHURCH ST, BROOKHAVEN, MS 39601-3811
(601) 757-5702
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
13550
MS
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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