Individual
NEAL E. WEARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5301 VIRGINIA WAY, STE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Mailing address
5301 VIRGINIA WAY, STE 300, BRENTWOOD, TN 37027-7541
(615) 221-4474
(615) 234-3774
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
041383
GA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
17234
TN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
20398
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000005004152
TLC TENNCARE
TN
01
—
0083093
BLUE CROSS
TN
01
—
10054168
AMERIGROUP GA MEDICAIDCMO
GA
01
—
119585
UNISON TENNCARE
TN
05
—
3038897
—
TN
01
—
319823
WELLCARE MEDICAID GA CMO
GA
01
—
52349478003
BLUE CROSS
GA
05
—
64798085
—
KY
05
—
89065TF
—
NC
Enumeration date
09/28/2006
Last updated
07/08/2007
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