Individual
MR. BRIAN S NEELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 WATKINS CENTRE PKWY STE 350, MIDLOTHIAN, VA 23114-4404
(804) 601-4901
(866) 674-0063
Mailing address
611 WATKINS CENTRE PKWY STE 350, MIDLOTHIAN, VA 23114-4404
(804) 601-4901
(866) 674-0063
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101228375
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5640997
—
VA
Enumeration date
09/30/2005
Last updated
10/08/2018
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