Individual
NICLAIRE LYNN NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3225 SHALLOWFORD RD STE 500, MARIETTA, GA 30062-7024
(678) 757-4576
(605) 309-8118
Mailing address
3225 SHALLOWFORD RD STE 500, MARIETTA, GA 30062-7024
(678) 757-4576
(605) 309-8118
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
11016023A
IN
2084P0800X
Psychiatry Physician
Primary
74202
GA
Other
Enumeration date
03/31/2011
Last updated
12/30/2021
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