Individual
STEPHANIE ALICIA MCNEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
315 MEDICAL PARK DR, STE 202, CONCORD, NC 28025-1902
(704) 403-1911
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
2019-01828
NC
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
2019-01828
NC
2084V0102X
Vascular Neurology Physician
2019-01828
NC
Other
Enumeration date
04/22/2014
Last updated
07/15/2024
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