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Organization

GARY W. NEAL MD, PLLC

Active
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Organization

GARY W. NEAL MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY W NEAL M.D. (OWNER)
(423) 968-4444
Entity
Organization

Contact information

Practice address
260 MIDWAY MEDICAL PARK, SUITE 2G, BRISTOL, TN 37620-1721
(423) 968-4444
(423) 844-0359
Mailing address
260 MIDWAY MEDICAL PARK, SUITE 2G, BRISTOL, TN 37620-1721
(423) 968-4444
(423) 844-0359

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4284719
BLUE CROSS BLUE SHIELD TN
TN
Enumeration date
12/15/2006
Last updated
08/17/2012
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