Individual
JACK A MCNEIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 ORCHARD PL, GREENVILLE, MS 38701-8045
(662) 332-1463
Mailing address
6 ORCHARD PL, GREENVILLE, MS 38701-8045
(662) 332-1463
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
07139
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015829
—
MS
Enumeration date
04/25/2008
Last updated
04/25/2008
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