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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