Individual
NEIL FRANCES MOONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2320 VOLUNTEER PKWY, BRISTOL, TN 37620
(423) 943-6064
Mailing address
54 COMPTON RD, BRISTOL, TN 37620
(423) 652-7408
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
0101017281
VA
208D00000X
General Practice Physician
Primary
MD05458
TN
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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