Individual
DONALD C NEAL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1587 VERNON RD, LAGRANGE, GA 30240-4146
(706) 884-2655
(706) 883-7670
Mailing address
1587 VERNON RD, LAGRANGE, GA 30240-4146
(706) 884-2655
(706) 883-7670
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
010231
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000399605A
—
GA
Enumeration date
08/20/2006
Last updated
07/08/2007
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