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Individual

RONALD MCNEAL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(703) 675-4102
Mailing address
1061 HARMON AVE, FORT STEWART, GA 31314-5641
(703) 675-4102

Taxonomy

Speciality
Code
Description
License number
State
286500000X
Military Hospital
Primary
E3032519
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
E3032519
MILITARY TREATMENT FACILITY
GA
Enumeration date
10/31/2014
Last updated
10/31/2014
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