Individual
CAMERON NEILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
367 ATHENS HWY STE 1150, LOGANVILLE, GA 30052-2270
(706) 845-9370
(706) 845-9371
Mailing address
1975 HIGHWAY 54 W STE 205, PEACHTREE CITY, GA 30269-4794
(678) 902-0457
(770) 415-1450
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001515
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2020
Last updated
09/11/2023
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